Midlothian Primary Care, LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101038159 Issued in VA

Legal business name

MIDLOTHIAN PRIMARY CARE, LTD.

Practice address

5001 W Village Green Dr
Suite 205
Midlothian, VA 23112-4801

Phone

(804) 744-6700

Fax

(804) 744-2047

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Achille Keller, M.D.NPI 1982657615

Title

President

Phone

(804) 744-6700

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kevin Achille Keller, MD

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1982657615
  NPD Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1811942931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR",
            "address_2": "SUITE 205",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "804-744-6700",
            "fax_number": "804-744-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR",
            "address_2": "SUITE 205",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "804-744-6700",
            "fax_number": "804-744-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN PRIMARY CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ACHILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-744-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101038159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midlothian Dental Arts
• Midlothian Dental Center
• Midlothian Family Chiropractic Center
• Midlothian Medi LLC
• Midlothian Orthopedic Sports Therapy
• Midlothian Wellness Clinic, LLC (Medi Weightloss)
• Melissa Miesner, M.S., CCC-SLP
• Natalie Mikolajczak
• Maryellen Mikoleski Ruth, PSY.D.
• Alexandra Richards Mildrum, DPT

• Family Medicine Physician in Midlothian, VA
• Providers in Midlothian, 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 Oct 31, 2008; 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.