Organization Active NPI

Rappahannock Family Healthcare, Inc

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1346356813
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102036807 Issued in VA
Legal business name
RAPPAHANNOCK FAMILY HEALTHCARE, INC
Practice address
120 Executive Center Pkwy
Fredericksburg, VA 22401-3100
Phone
(540) 374-5200
Fax
(540) 373-0942
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Rafael O. Hernandez, MD
Title
President
Phone
(540) 374-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 0102036807 VA Primary

Addresses

Primary practice location

120 Executive Center Pkwy
Fredericksburg, VA 22401-3100

Mailing address

120 Executive Center Pkwy Ste 215
Fredericksburg, VA 22401-3100
Phone (540) 374-5200

Other identifiers 1

IdentifierTypeStateIssuer
5660599MedicaidVA

Other names 1

  • Rappahannock Family Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

10502 Rhoads Dr
Fredericksburg, VA 22407
Phone (540) 710-9100

120 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 374-5097

418 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 371-4700

120 Executive Center Pkwy
Ste 215
Fredericksburg, VA 22401

36097 Goodwin Dr
Locust Grove, VA 22508
Phone (540) 972-8700

10482 Georgetown Dr
Spotsylvania, VA 22553
Phone (540) 369-3316

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1346356813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EXECUTIVE CENTER PKWY STE 215",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013100",
            "telephone_number": "540-374-5200",
            "fax_number": "540-374-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EXECUTIVE CENTER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013100",
            "telephone_number": "540-374-5200",
            "fax_number": "540-373-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPPAHANNOCK FAMILY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-374-5097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102036807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5660599",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rappahannock Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rappahannock Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.