Active NPI
East Coast Physicians PC
- Internal Medicine Physician
- Colonial Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101236651
- Legal business name
- EAST COAST PHYSICIANS PC
- Practice address
- 525B Euclid Ave
Colonial Beach, VA 22443-1907 - Phone
- (804) 224-7890
- NPI assigned
- Aug 5, 2006
- Last updated
- Oct 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hasan Farkhani
- Title
- Ceo
- Phone
- (804) 224-7890
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101236651 | VA | Primary |
Addresses
Primary practice location
525B Euclid Ave
Colonial Beach, VA 22443-1907
Mailing address
525B Euclid Ave
Colonial Beach, VA 22443-1907
Phone (804) 224-7890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010360111 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1096371 | East Coast Physicians, PC | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
525 Euclid Ave
#B
Colonial Beach, VA 22443
525B Euclid Ave
Colonial Beach, VA 22443
Phone (804) 224-7890
1201 Sam Perry Blvd
Ste 240
Fredericksburg, VA 22401
Phone (540) 741-1542
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Colonial Beach, VA
- NPI 1750485942
-
- Speech-Language Pathologist
- Fredericksburg, VA
- NPI 1245440239
-
- Speech-Language Pathologist
- Fredericksburg, VA
- NPI 1285845198
-
- Speech-Language Pathologist
- Fredericksburg, VA
- NPI 1801097738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1841209244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525B EUCLID AVE",
"city": "COLONIAL BEACH",
"state": "VA",
"postal_code": "224431907",
"telephone_number": "804-224-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525B EUCLID AVE",
"city": "COLONIAL BEACH",
"state": "VA",
"postal_code": "224431907",
"telephone_number": "804-224-7890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COAST PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "FARKHANI",
"authorized_official_first_name": "HASAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-224-7890",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101236651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010360111",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.