Alliance Family Health Care, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101038398 Issued in VA

Legal business name

ALLIANCE FAMILY HEALTH CARE, PC

Practice address

3333 S Crater Rd
Suite 3a
Petersburg, VA 23805-9276

Phone

(804) 733-3438

Fax

(804) 733-7424

NPI assigned

Aug 1, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alfreda Booker

Title

Billing Manager

Phone

(804) 323-5575

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

Alliance Family Health Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Alliance Family Health Care, PC

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1568485050
  NPD tax ID
• Alliance Family Practice, PC

  • Adult Health Nurse Practitioner
  • Petersburg, VA
  • NPI 1457378804
  NPD tax ID

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699781393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S CRATER RD",
            "address_2": "SUITE 3A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059276",
            "telephone_number": "804-733-3438",
            "fax_number": "804-733-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S CRATER RD",
            "address_2": "SUITE 3A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059276",
            "telephone_number": "804-733-3438",
            "fax_number": "804-733-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "ALFREDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "804-323-5575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101038398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "269424",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "8119813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "10211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00244001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "0101038398",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "102116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon M Alexander, MD
• Annemarie Alinea-Richards, PT, DPT
• Tahir Allauddin, M.D.
• Monica Shunita Allen, FNP
• Terrence Agustus Allen, PHD
• Alliance Family Practice, P.C.
• Alliance Family Practice, PC
• Altruistic Life Services, Inc.
• C. Rao Amara, M.D.
• Lesley Ambroise

• Family Medicine Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.