Organization Active NPI

First Colonial Family Practice Center, Inc

Doing business as First Colonial Family Practice and Urgent Care Center

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1528175254
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST COLONIAL FAMILY PRACTICE CENTER, INC
Doing business as
First Colonial Family Practice and Urgent Care Center
Practice address
1120 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-2418
Phone
(757) 481-2333
Fax
(757) 481-1037
NPI assigned
Aug 25, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Ashlie Stupka
Title
Administrative Assistant
Phone
(757) 481-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1120 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-2418

Mailing address

1120 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-2418
Phone (757) 481-2333

Other names 1

  • FIRST COLONIAL FAMILY PRACTICE AND URGENT CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1120 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 481-2333

Practitioners & affiliated clinicians

Practitioners 2

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1528175254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542418",
            "telephone_number": "757-481-2333",
            "fax_number": "757-481-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542418",
            "telephone_number": "757-481-2333",
            "fax_number": "757-481-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COLONIAL FAMILY PRACTICE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "STUPKA",
        "authorized_official_first_name": "ASHLIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "757-481-2333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST COLONIAL FAMILY PRACTICE AND URGENT CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.