Organization Active NPI

Maury River Family Practice, LLC

  • Family Medicine Physician
  • Glasgow, VA
National Provider Identifier
1598801326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101050106 Issued in VA
Legal business name
MAURY RIVER FAMILY PRACTICE, LLC
Practice address
730 McCulloch St
Glasgow, VA 24555-2710
Phone
(540) 258-1700
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jane Sailer, MDNPI 1891746400
Title
Physician
Phone
(540) 258-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101050106 VA Primary

Addresses

Primary practice location

730 McCulloch St
Glasgow, VA 24555-2710

Mailing address

730 McCulloch St
Glasgow, VA 24555-2710

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598801326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MCCULLOCH ST",
            "city": "GLASGOW",
            "state": "VA",
            "postal_code": "245552710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MCCULLOCH ST",
            "city": "GLASGOW",
            "state": "VA",
            "postal_code": "245552710",
            "telephone_number": "540-258-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY RIVER FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAILER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-258-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101050106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.