Charles D Price III, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101020644 Issued in VA

Practice address

107 DMV Drive
Kilmarnock, VA 22482

Phone

(804) 435-3103

Fax

(804) 435-6695

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881753168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DMV DRIVE",
            "address_2": "PO BOX 1599",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-435-3103",
            "fax_number": "804-435-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DMV DRIVE",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-435-3103",
            "fax_number": "804-435-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101020644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "015959",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48140",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daphne Papaefthimiou, D.D.S.
• Kimberly Jones Penney, RPH
• Barbara Perona, MD
• Robert William Poole, M.D.
• Bridget Motley Poulson, DPT
• Patricia Hudgins Prince, AAS. B.S.
• Pure N' Simple Family Chiropractic, Inc
• Lauren Elizabeth Rahn, RBT
• Karlyn Makenna Reighard, RBT
• Katherine Hance Reynolds, DPT

• Internal Medicine Physician in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.