Family Medicine of Blacksburg, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE OF BLACKSBURG, LLC

Practice address

1645 N Main St
Blacksburg, VA 24060-2554

Phone

(540) 552-1246

Fax

(540) 552-1247

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

William Tedrick Johnson

Title

Group VP/Ao

Phone

(615) 372-3375

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Kathleen Goldstein, D.O.

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1346369782
  NPD (past)
• Andrea Lynn Hall, M.D.

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1144437492
  NPD (past)
• Chris L. Howard, D.O.

  • Family Medicine Physician
  • Christiansburg, VA
  • NPI 1467469775
  NPD (past)
• Michael Dustin Kennedy, D.O.

  • Family Medicine Physician
  • Carlisle Barracks, PA
  • NPI 1649346081
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1558550301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602554",
            "telephone_number": "540-552-1246",
            "fax_number": "540-552-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF BLACKSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "GROUP VP/AO",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Gregory Eugene, MS, LAT, ATC, CES
• Molly Everett, LPC
• Chinwendu N Ezeoru, MD
• Family and Psychological Services, Inc.
• Family Care of Blacksburg
• Farhi Eye Care & Surgery Specialists, LLC (Farhi Eye Care & Surgery Specialists)
• Parisa Farhi, MD
• Farmview Emergency Physicians LLC
• Crystal Sarah Farooqi, DO
• Paul Henry Farrier, M.D.

• Family Medicine Physician in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.