NPIMap

Organization Active NPI

Pioneer Health Servces of Patrick County, Inc.

Doing business as Pioneer Family Medical

  • Family Medicine Physician
  • Stuart, VA
National Provider Identifier
1285897629
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049407 Issued in VA
Legal business name
PIONEER HEALTH SERVCES OF PATRICK COUNTY, INC.
Doing business as
Pioneer Family Medical
Practice address
835 Woodland Dr
Stuart, VA 24171-1586
Phone
(276) 694-6677
Fax
(276) 694-6827
NPI assigned
Jul 7, 2008
Last updated
Aug 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph S McNulty III
Title
Ceo/President
Phone
(601) 849-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101049407 VA Primary

Addresses

Primary practice location

835 Woodland Dr
Stuart, VA 24171-1586

Mailing address

PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-1682

Other names 1

  • Pioneer Family Medical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1285897629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391111100",
            "telephone_number": "601-849-1682",
            "fax_number": "601-849-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 WOODLAND DR",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711586",
            "telephone_number": "276-694-6677",
            "fax_number": "276-694-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVCES OF PATRICK COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "601-849-4112",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.