Organization Active NPI

East Coast Physicians PC

  • Internal Medicine Physician
  • Colonial Beach, VA
National Provider Identifier
1841209244
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101236651 Issued in VA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Hasan FarkhaniNPI 1750485942
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010360111MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070622000521 VA Part B Supplier - Clinic/Group Practice 1052410693 Receives reassigned benefits from 1 practitioner
Practice locations: Colonial Beach, 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
49D1096371East Coast Physicians, PC525 Euclid Avenue - Suite B, Colonial Beach, VA 22443Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.