Active NPI
Medical Specialists of Fredericksburg Inc
- Internal Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1982708236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025214 | Other | VA | ANTHEM BCBS |
| 60661B6 | Medicaid | VA | |
| 110011999 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.