NPIMap

Organization Active NPI

Chickahominy Family Practice, Inc

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1669701249
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024168551 Issued in VA
Legal business name
CHICKAHOMINY FAMILY PRACTICE, INC
Practice address
2660 New Market Rd
Richmond, VA 23231-7408
Phone
(804) 795-1144
Fax
(804) 795-1052
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
John P Kowalski, M.D.NPI 1285632497
Title
Vice President
Phone
(804) 795-1144

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0024168551 VA Primary

Addresses

Primary practice location

2660 New Market Rd
Richmond, VA 23231-7408

Mailing address

1414 N 22ND St
Richmond, VA 23223-5152
Phone (804) 683-6959

Other names 1

  • New Market Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Chickahominy Family2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2660 New Market Rd
Richmond, VA 23231
Phone (804) 795-1144

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": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1669701249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N 22ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235152",
            "telephone_number": "804-683-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 NEW MARKET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232317408",
            "telephone_number": "804-795-1144",
            "fax_number": "804-795-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKAHOMINY FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-795-1144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024168551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Market Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.