Organization Active NPI

Fredericksburg Primary Care, P.C.

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1447297916
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101055279 Issued in VA
Legal business name
FREDERICKSBURG PRIMARY CARE, P.C.
Practice address
2500 Charles St
Fredericksburg, VA 22401-3312
Phone
(540) 374-8140
Fax
(540) 374-8190
NPI assigned
Jun 1, 2006
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Ms. Patricia A Szafranski
Title
Office Manager
Phone
(540) 374-8140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101055279 VA Primary

Addresses

Primary practice location

2500 Charles St
Fredericksburg, VA 22401-3312

Mailing address

2500 Charles St
Fredericksburg, VA 22401-3312
Phone (540) 374-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001145 VA Part B Supplier - Clinic/Group Practice 3072589878 Receives reassigned benefits from 3 practitioners
Practice locations: Fredericksburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1028609Fredericksburg Primary Care, PC2500 Charles Street, Fredericksburg, VA 22401Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

2300 Charles St
#201A
Fredericksburg, VA 22401
Phone (540) 374-8140

2300 Charles St
Ste 102
Fredericksburg, VA 22401
Phone (540) 374-9191

2500 Charles St
Fredericksburg, VA 22401
Phone (540) 374-8140

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1447297916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CHARLES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013312",
            "telephone_number": "540-374-8140",
            "fax_number": "540-374-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHARLES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013312",
            "telephone_number": "540-374-8140",
            "fax_number": "540-374-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SZAFRANSKI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-374-8140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101055279",
            "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 Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.