Organization Active NPI

Radford Family Medicine LLC

  • Family Medicine Physician
  • Radford, VA
National Provider Identifier
1386802031
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RADFORD FAMILY MEDICINE LLC
Practice address
600 E Main St
Suite D
Radford, VA 24141-1826
Phone
(540) 633-3980
Fax
(540) 633-3985
NPI assigned
May 29, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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) 650-2307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

600 E Main St
Suite D
Radford, VA 24141-1826

Mailing address

600 E Main St
Suite D
Radford, VA 24141-1826
Phone (540) 633-3980

National Provider Directory

National Provider Directory

Locations

600 E Main St
Ste D
Radford, VA 24141
Phone (540) 633-2070

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1386802031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "address_2": "SUITE D",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411826",
            "telephone_number": "540-633-3980",
            "fax_number": "540-633-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "address_2": "SUITE D",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411826",
            "telephone_number": "540-633-3980",
            "fax_number": "540-633-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADFORD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-650-2307"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.