Organization Active NPI

Village Green Family Medicine PC

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1720047475
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VILLAGE GREEN FAMILY MEDICINE PC
Practice address
5912 Harbour Park Dr Ste B
Midlothian, VA 23112-2135
Phone
(804) 739-5433
Fax
(804) 739-0321
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Susan J Scharpf, MD
Title
President
Phone
(804) 739-5433

Specialties & licenses 1

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

Addresses

Primary practice location

5912 Harbour Park Dr Ste B
Midlothian, VA 23112-2135

Mailing address

5912 Harbour Park Dr Ste B
Midlothian, VA 23112-2135
Phone (804) 739-5433

Other identifiers 2

IdentifierTypeStateIssuer
C02381OtherMEDICARE GROUP NUMBER
1568421824OtherVAPHYSICIAN NPI

National Provider Directory

National Provider Directory

Locations

5912 Harbour Park Dr
Ste B
Midlothian, VA 23112
Phone (804) 239-7688

13841 Hull Street Rd
Ste 4
Midlothian, VA 23112
Phone (804) 739-0963

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1720047475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 HARBOUR PARK DR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122135",
            "telephone_number": "804-739-5433",
            "fax_number": "804-739-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 HARBOUR PARK DR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122135",
            "telephone_number": "804-739-5433",
            "fax_number": "804-739-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE GREEN FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "SCHARPF",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-739-5433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C02381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI",
            "identifier": "1568421824",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.