NPIMap

Organization Active NPI

Commonwealth Primary Care

  • Physical Medicine & Rehabilitation Physician
  • Glen Allen, VA
National Provider Identifier
1831242353
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
COMMONWEALTH PRIMARY CARE
Practice address
4050 Innslake Dr Ste 308
Glen Allen, VA 23060
Phone
(804) 521-5310
Fax
(804) 521-5312
NPI assigned
Jan 19, 2007
Organization subpart
Yes
Parent organization
COMMONWEALTH PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Ms. Cheryl Daniel
Title
Billing Manager
Phone
(804) 288-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4050 Innslake Dr Ste 308
Glen Allen, VA 23060

Mailing address

8002 Discovery Dr Ste 410
Richmond, VA 23229
Phone (804) 288-0399

Other identifiers 2

IdentifierTypeStateIssuer
139440OtherVAANTHEM
CC6597OtherVAMEDICARE RR

Other names 1

  • CPC Rehabilitation Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Primary Care12 organizations share this tax ID, including this one
Part of
Commonwealth Primary Care

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1831242353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 DISCOVERY DR STE 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23229",
            "telephone_number": "804-288-0399",
            "fax_number": "804-288-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 INNSLAKE DR STE 308",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-521-5310",
            "fax_number": "804-521-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH PRIMARY CARE",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "804-288-0399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "139440",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CC6597",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPC Rehabilitation Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.