Organization Active NPI

Chancellor Internal Medicine

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1396773354
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHANCELLOR INTERNAL MEDICINE
Practice address
12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone
(540) 786-9771
Fax
(540) 548-8803
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Richard Ameen, MD
Title
Physician
Phone
(540) 786-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12006 Kilarney Dr
Fredericksburg, VA 22407-7207

Mailing address

12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone (540) 786-9771

National Provider Directory

National Provider Directory

Locations

4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1396773354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12006 KILARNEY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077207",
            "telephone_number": "540-786-9771",
            "fax_number": "540-548-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 KILARNEY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077207",
            "telephone_number": "540-786-9771",
            "fax_number": "540-548-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "AMEEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-786-9771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Nov 16, 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.