Christiansburg Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHRISTIANSBURG INTERNAL MEDICINE LLC

Practice address

95 Ponderosa Dr
Christiansburg, VA 24073-6582

Phone

(540) 381-1882

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Washington

Title

VP

Phone

(703) 650-2907

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1376583708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PONDEROSA DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736582",
            "telephone_number": "540-381-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PONDEROSA DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736582",
            "telephone_number": "540-381-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANSBURG INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF3934",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376583708",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Chin, LCSW
• Lisa Marie Choate, LPN
• Crystal Lynn Chrisley, PA-C
• Christiansburg Family Medicine, LLC
• Christiansburg Family Practice,PC
• Christiansburg Pharmacy Inc.
• CHS, Inc
• Judy Chun, MD
• Jey-Dea Chung, MD
• Sierra Church, PA-C

• Internal Medicine Physician in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Internal Medicine Physician in Virginia

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