Active NPI
Wiggington Road Family Practice Inc
- General Practice Physician
- Lynchburg, VA
National Provider Identifier
1942396908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- WIGGINGTON ROAD FAMILY PRACTICE INC
- Practice address
- 113 Wiggington Road
Lynchburg, VA 24502 - Phone
- (434) 385-7578
- Fax
- (434) 385-9756
- NPI assigned
- Oct 5, 2006
- 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
- Alan M. Podoseh, M.D.
- Title
- Medical Doctor
- Phone
- (434) 385-7578
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
113 Wiggington Road
Lynchburg, VA 24502
Mailing address
113 Wiggington Road
Lynchburg, VA 24502
Phone (434) 385-7578
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205921210 | Other | VA | INDIVIDUAL NPI CHRISTIAN |
| 5642876 | Medicaid | VA | |
| 249893 | Other | VA | ANTHEM BCBS CHRISTIAN |
| 012828 | Other | VA | ANTHEM FOR ALAN PODOSEK |
| 1205851581 | Other | VA | INDIV NPI ALAN PODOSEK,MD |
| 1356366645 | Other | VA | INDIV NPI HARB RANK, MD |
| 010386250 | Medicaid | VA | |
| 214335 | Other | VA | ANTHEM FOR HARB RANK, MD |
| 5674808 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041207000433 | VA | Part B Supplier - Clinic/Group Practice | 3870559396 |
Receives reassigned benefits from 5 practitioners Practice locations: Lynchburg, VA |
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 |
|---|---|---|---|
| 49D0232957 | Wiggington Road Family Practice | Provider-performed microscopy | Jun 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
113 Wiggington Rd
Ste A
Lynchburg, VA 24502
Phone (434) 385-7578
113 Wiggington Rd
Lynchburg, VA 24502
Phone (434) 385-7578
Practitioners & affiliated clinicians
Practitioners 5
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": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1942396908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WIGGINGTON ROAD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24502",
"telephone_number": "434-385-7578",
"fax_number": "434-385-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WIGGINGTON ROAD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24502",
"telephone_number": "434-385-7578",
"fax_number": "434-385-9756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIGGINGTON ROAD FAMILY PRACTICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "PODOSEH",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "434-385-7578",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI CHRISTIAN",
"identifier": "1205921210",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5642876",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS CHRISTIAN",
"identifier": "249893",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FOR ALAN PODOSEK",
"identifier": "012828",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIV NPI ALAN PODOSEK,MD",
"identifier": "1205851581",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIV NPI HARB RANK, MD",
"identifier": "1356366645",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010386250",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FOR HARB RANK, MD",
"identifier": "214335",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5674808",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.