Organization Active NPI

Convenient Health Care, Incorporated

  • Primary Care Clinic/Center
  • Petersburg, VA
National Provider Identifier
1467571588
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101029194 Issued in VA
Legal business name
CONVENIENT HEALTH CARE, INCORPORATED
Practice address
2731 S Crater Rd
Petersburg, VA 23805-2403
Phone
(804) 733-3131
Fax
(804) 862-9136
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Stephen Frederick Vaughan Sr., M.D., RPH
Title
Medical Director-Owner
Phone
(804) 733-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101029194 VA Primary

Addresses

Primary practice location

2731 S Crater Rd
Petersburg, VA 23805-2403

Mailing address

2731 S Crater Rd
Petersburg, VA 23805-2403
Phone (804) 733-3131

National Provider Directory

National Provider Directory

Locations

2731 S Crater Rd
Petersburg, VA 23805
Phone (804) 520-1080

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1467571588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052403",
            "telephone_number": "804-733-3131",
            "fax_number": "804-862-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052403",
            "telephone_number": "804-733-3131",
            "fax_number": "804-862-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT HEALTH CARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR-OWNER",
        "authorized_official_telephone_number": "804-733-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D., RPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101029194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.