Active NPI
Christiansburg Family Medicine, LLC
- Family Medicine Physician
- Christiansburg, VA
National Provider Identifier
1639324445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101026426
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.