Organization Active NPI

Sucteck, Inc

Doing business as Valley Family & Procedural Medicine

  • Family Medicine Physician
  • Stephens City, VA
National Provider Identifier
1770768731
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUCTECK, INC
Doing business as
Valley Family & Procedural Medicine
Practice address
640 Warrior Dr
Suite 109
Stephens City, VA 22655-4076
Phone
(540) 868-2511
Fax
(540) 868-9105
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Charles A Middelhof, MDNPI 1750586236
Title
Owner/Physician
Phone
(540) 868-2511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

640 Warrior Dr
Suite 109
Stephens City, VA 22655-4076

Mailing address

640 Warrior Dr
Suite 109
Stephens City, VA 22655-4076
Phone (540) 868-2511

Other identifiers 1

IdentifierTypeStateIssuer
1770768731MedicaidVA

Other names 1

  • Valley Family & Procedural Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000339 VA Part B Supplier - Clinic/Group Practice 9537248471 Receives reassigned benefits from 1 practitioner
Practice locations: Stephens City, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1080036Valley Family and Procedural Medicine640 Warrior Drive - Suite 109, Stephens City, VA 22655Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

640 Warrior Dr
Ste 109
Stephens City, VA 22655
Phone (540) 247-7294

640 Warrior Dr
Stephens City, VA 22655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1770768731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WARRIOR DR",
            "address_2": "SUITE 109",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554076",
            "telephone_number": "540-868-2511",
            "fax_number": "540-868-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WARRIOR DR",
            "address_2": "SUITE 109",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554076",
            "telephone_number": "540-868-2511",
            "fax_number": "540-868-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCTECK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "MIDDELHOF",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "540-868-2511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770768731",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Family & Procedural Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.