Organization Active NPI

Stony Hill Internal Medicine Inc

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1609805480
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STONY HILL INTERNAL MEDICINE INC
Practice address
11 Smokehouse Drive
Suite 101
Fredericksburg, VA 22406
Phone
(540) 370-0295
Fax
(540) 370-0619
NPI assigned
Jul 2, 2006
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Susan Holland, MD
Title
Physician Owner
Phone
(540) 370-0295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11 Smokehouse Drive
Suite 101
Fredericksburg, VA 22406

Mailing address

11 Smokehouse Drive
Suite 101
Fredericksburg, VA 22406
Phone (540) 370-0295

Other identifiers 1

IdentifierTypeStateIssuer
010157404MedicaidVA

National Provider Directory

National Provider Directory

Locations

2300 Charles St
Ste 202A
Fredericksburg, VA 22401
Phone (540) 720-5009

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1609805480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SMOKEHOUSE DRIVE",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22406",
            "telephone_number": "540-370-0295",
            "fax_number": "540-370-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SMOKEHOUSE DRIVE",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22406",
            "telephone_number": "540-370-0295",
            "fax_number": "540-370-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY HILL INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "540-370-0295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010157404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.