Westside Medical, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102200840 Issued in VA

Legal business name

WESTSIDE MEDICAL, P.C.

Practice address

1601 Olde William St Ste B
Fredericksburg, VA 22401-5525

Phone

(540) 371-4488

Fax

(540) 755-2459

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Hengy, D.O.NPI 1801885157

Title

Physician-Owner

Phone

(540) 287-9066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew J. Hengy, D.O.

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1801885157
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1306875497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 HARRISON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076363",
            "telephone_number": "540-702-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 OLDE WILLIAM ST STE B",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015525",
            "telephone_number": "540-371-4488",
            "fax_number": "540-755-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HENGY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "540-287-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102200840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Louise West, CRNA
• Staci Deanne Westcott
• Maddison Wester
• Andrea Westerbeck
• Carol Ann Westphal, LCSW
• Brian S Wexler, MD
• Lindsay Whaley
• Elizabeth Wheatley, NP
• Alaisia Wheeler
• Jennifer Elizabeth Wheeler, PTA

• Family Medicine Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.