King & Queen Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KING & QUEEN FAMILY PRACTICE INC

Practice address

142 Smithfield Road
St Stephns CH, VA 23148-0130

Phone

(804) 769-0103

Fax

(804) 769-0508

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William B Gwathmy, MD

Title

Administrator

Phone

(804) 769-0103

Specialties & licenses 1

Addresses

Practitioners 2

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

• Pamela Lester Gwathmey, M.D.

  • Family Medicine Physician
  • Saint Stephens Church, VA
  • NPI 1205867645
  NPD (past)
• Linda Kay Mitchell

  • Family Nurse Practitioner
  • Callao, VA
  • NPI 1144467390
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1891871224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "ST STEPHNS CH",
            "state": "VA",
            "postal_code": "231480130",
            "telephone_number": "804-769-0103",
            "fax_number": "804-769-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SMITHFIELD ROAD",
            "city": "ST STEPHNS CH",
            "state": "VA",
            "postal_code": "231480130",
            "telephone_number": "804-769-0103",
            "fax_number": "804-769-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING & QUEEN FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "GWATHMY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-769-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.