NPIMap

Organization Active NPI

Rappahannock Neurosurgery Associates, LLC

  • Neurological Surgery Physician
  • Fredericksburg, VA
National Provider Identifier
1366477234
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101238532 Issued in VA
Legal business name
RAPPAHANNOCK NEUROSURGERY ASSOCIATES, LLC
Practice address
1101 Sam Perry Blvd
Suite 207
Fredericksburg, VA 22401-4467
Phone
(540) 374-3200
Fax
(540) 374-3210
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Glen J. Poffenbarger, M.D.NPI 1669469227
Title
Physician/Owner
Phone
(540) 374-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 0101238532 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd
Suite 207
Fredericksburg, VA 22401-4467

Mailing address

1101 Sam Perry Blvd
Suite 207
Fredericksburg, VA 22401-4467
Phone (540) 374-3200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1366477234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-374-3200",
            "fax_number": "540-374-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-374-3200",
            "fax_number": "540-374-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPPAHANNOCK NEUROSURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "POFFENBARGER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-374-3200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101238532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 28, 2007; 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.