Organization Active NPI

Commonwealth Surgery Specialist, P.C.

  • Surgery Physician
  • Fredericksburg, VA
National Provider Identifier
1417973090
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101235589 Issued in VA
Legal business name
COMMONWEALTH SURGERY SPECIALIST, P.C.
Practice address
306 Cambridge St
Fredericksburg, VA 22405-1400
Phone
(540) 371-7372
Fax
(540) 371-3002
NPI assigned
Jul 15, 2006
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Richard Shane Palmer, M.D.NPI 1275522393
Title
Physician/Owner
Phone
(540) 371-7372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101235589 VA Primary

Addresses

Primary practice location

306 Cambridge St
Fredericksburg, VA 22405-1400

Mailing address

306 Cambridge St
Fredericksburg, VA 22405-1400
Phone (540) 371-7372

National Provider Directory

National Provider Directory

Locations

2601 Princess Anne St
Ste 201
Fredericksburg, VA 22401
Phone (540) 371-7372

306 Cambridge St
Fredericksburg, VA 22405
Phone (540) 356-5979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1417973090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051400",
            "telephone_number": "540-371-7372",
            "fax_number": "540-371-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051400",
            "telephone_number": "540-371-7372",
            "fax_number": "540-371-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH SURGERY SPECIALIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-371-7372",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101235589",
            "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 Sep 9, 2015; 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.