Organization Active NPI

River Crossing Health Inc

  • Family Medicine Physician
  • Lorton, VA
National Provider Identifier
1902277619
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102203356 Issued in VA
Legal business name
RIVER CROSSING HEALTH INC
Practice address
9680 Alexandra Nicole Dr
Lorton, VA 22079-3471
Phone
(614) 736-3884
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Dr. Ikenna S Nzeogu, D.O.
Title
Managing Partner
Phone
(614) 736-3884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0102203356 VA Primary

Addresses

Primary practice location

9680 Alexandra Nicole Dr
Lorton, VA 22079-3471

Mailing address

9680 Alexandra Nicole Dr
Lorton, VA 22079-3471
Phone (614) 736-3884

National Provider Directory

National Provider Directory

Locations

7726 Gunston Plz
Unit 97
Lorton, VA 22199

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1902277619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 ALEXANDRA NICOLE DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793471",
            "telephone_number": "614-736-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 ALEXANDRA NICOLE DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793471",
            "telephone_number": "614-736-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CROSSING HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "NZEOGU",
        "authorized_official_first_name": "IKENNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "614-736-3884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.