Warren Family Practice, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WARREN FAMILY PRACTICE, PC

Practice address

1077 N Shenandoah Ave
Suite B
Front Royal, VA 22630-3546

Phone

(540) 636-8900

Fax

(540) 636-8920

NPI assigned

Mar 21, 2008

Organization subpart

No

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

Authorized official

Name

Jayashree Venkatesh, MD

Title

President

Phone

(540) 636-8900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1356512990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 N SHENANDOAH AVE",
            "address_2": "SUITE B",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303546",
            "telephone_number": "540-636-8900",
            "fax_number": "540-636-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 N SHENANDOAH AVE",
            "address_2": "SUITE B",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303546",
            "telephone_number": "540-636-8900",
            "fax_number": "540-636-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "VENKATESH",
        "authorized_official_first_name": "JAYASHREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-636-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356512990",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara J Walter, MD
• Warren Co Board of Supervisors
• Warren County Community Health Coalition, LLC
• Warren County Public Schools
• Warren County Workshop, Inc.
• Warren Memorial Hospital
• Warren Memorial Hospital
• Warren Memorial Hospital Center for Healthy Aging
• Warren Memorial Hospital Inc.
• Warren Memorial Hospital Occupaitonal Health

• Family Medicine Physician in Front Royal, VA
• Providers in Front Royal, 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 17, 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.