Organization Active NPI

Christiansburg Family Medicine, LLC

  • Family Medicine Physician
  • Christiansburg, VA
National Provider Identifier
1639324445
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101026426 Issued in VA
Legal business name
CHRISTIANSBURG FAMILY MEDICINE, LLC
Practice address
6 Hickok St
Christiansburg, VA 24073-3524
Phone
(540) 382-6148
Fax
(540) 382-0105
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
William Caldwell Jr.
Title
Vice President
Phone
(540) 772-5997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101026426 VA Primary

Addresses

Primary practice location

6 Hickok St
Christiansburg, VA 24073-3524

Mailing address

PO Box 405611
Atlanta, GA 30384-5611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1639324445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405611",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HICKOK ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733524",
            "telephone_number": "540-382-6148",
            "fax_number": "540-382-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANSBURG FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "540-772-5997",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101026426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.