Organization Active NPI

Medical Specialists of Fredericksburg Inc

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1982708236
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL SPECIALISTS OF FREDERICKSBURG INC
Practice address
240 Executive Center Parkway
Fredericksburg, VA 22401-3107
Phone
(540) 371-1700
Fax
(540) 371-1793
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Leroy J Essig, MD
Title
President
Phone
(540) 371-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Oncology Clinic/Center 261QX0200X

Addresses

Primary practice location

240 Executive Center Parkway
Fredericksburg, VA 22401-3107

Mailing address

240 Executive Center Parkway
Fredericksburg, VA 22401-3107
Phone (540) 371-1700

Other identifiers 3

IdentifierTypeStateIssuer
025214OtherVAANTHEM BCBS
60661B6MedicaidVA
110011999OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2300 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 741-1404

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1982708236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EXECUTIVE CENTER PARKWAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013107",
            "telephone_number": "540-371-1700",
            "fax_number": "540-371-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EXECUTIVE CENTER PARKWAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013107",
            "telephone_number": "540-371-1700",
            "fax_number": "540-371-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF FREDERICKSBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "ESSIG",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-371-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "025214",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60661B6",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110011999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.