NPIMap

Organization Active NPI

Short Pump Family Care, LLC

  • Primary Care Clinic/Center
  • Midlothian, VA
National Provider Identifier
1487068334
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SHORT PUMP FAMILY CARE, LLC
Practice address
12731 Stone Village Way
Midlothian, VA 23113-2722
Phone
(804) 379-1500
NPI assigned
Jun 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Cindy Gilliam
Title
Office Manager
Phone
(336) 222-9299

Specialties & licenses 1

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

Addresses

Primary practice location

12731 Stone Village Way
Midlothian, VA 23113-2722

Mailing address

12731 Stone Village Way
Midlothian, VA 23113-2722

National Provider Directory

National Provider Directory

Locations

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

12741 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1487068334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 STONE VILLAGE WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 STONE VILLAGE WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132722",
            "telephone_number": "804-379-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT PUMP FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-222-9299"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.