PATIENT FIRST RICHMOND MEDICAL GROUP (NPI# 1558776682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558776682 |
| Entity Type | Organization |
| Organization Name | PATIENT FIRST RICHMOND MEDICAL GROUP |
| Other Organization Name | PATIENT FIRST CHANTILLY |
| Practice Address |
3918 Centreville Rd Chantilly VA 20151 |
| Mailing Address |
5000 Cox Rd Ste 100 Glen Allen VA 23060-9263 |
| Practice Telephone | 7036576925 |
| Practice Fax Number | 7036576926 |
| Mailing Telephone | 8048224383 |
| Mailing Fax Number | 8049650987 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | MR. MARVIN WARREN BRIDGERS III (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8048224383 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 0101236400 | VA | Suppliers |
| Other Name | Type Code |
|---|---|
| PATIENT FIRST CHANTILLY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134583008 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-04-07 |
| 1023482510 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 14800 Lee Highway, Gainesville, VA 20155 | 2015-11-20 |
| 1225469646 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2013-12-11 |
| 1649511791 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-13 |
| 1902147374 | Patient First Richmond Medical Group | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-11 |
| 1386988632 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-26 |
| 1588935969 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 47100 Community Plz, Sterling, VA 20164-1826 | 2012-01-18 |
| 1487945846 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 1260 Temple Avenue, Colonial Heights, VA 23834 | 2011-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Patient First Richmond Medical Group | 5000 Cox Rd, Suite 100, Glen Allen, VA 23060 |
| Street Address |
3918 CENTREVILLE RD |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784254 | Telina Marie Williams-stuckey | Family Medicine | 3918 Centreville Rd, Chantilly, VA 20151 | 2005-07-18 |
| 1629508262 | Sara Lucas Kepple | Family Medicine | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2017-06-15 |
| 1861872681 | Preyasha Tuladhar | Family Medicine | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2015-06-06 |
| 1457740441 | Dinara Yambulatova | Physician Assistant | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2015-01-14 |
| 1164864443 | Xuan-lan M Griffith | Internal Medicine | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2013-07-26 |
| 1528352234 | Deepshikha Vyravipillai | Family Medicine | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2011-05-31 |
| 1316146640 | David Scott Robinson | Family Medicine | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2007-07-17 |
| 1952520934 | Umakant R. Kori | Family Medicine | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2007-04-25 |
| 1598820854 | Lisa Kim Majete | Internal Medicine | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2006-12-27 |
| 1285664797 | Sean M Quinn | Physician Assistant | 3918 Centreville Rd, Chantilly, VA 20151-3224 | 2006-07-03 |
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|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
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| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1295051308 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 9715 Liberia Ave., Manassas, VA 20110 | 2010-04-14 |
| 1366768475 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 601 Potomac Station Dr, Leesburg, VA 20176 | 2010-04-14 |
| 1215101126 | Drs. Gardner & Veloso | Non-Pharmacy Dispensing Site | 307 1st St Sw, Roanoke, VA 24011-1901 | 2008-04-22 |
| 1609920685 | Virginia Adult & Pediatric Allergy & Asthma PC | Non-Pharmacy Dispensing Site | 14351 Sommerville Ct, Midlothian, VA 23113-6837 | 2007-01-23 |
| 1144378704 | Patient First | Non-Pharmacy Dispensing Site | 706 N Battlefield Blvd, Chesapeake, VA 23320 | 2007-01-08 |
| 1639230683 | Ellington Opticians | Non-Pharmacy Dispensing Site | 201 Temple Ave, B, Colonial Heights, VA 23834-2801 | 2006-12-13 |
| 1447333778 | Troutdale Medical Center | Non-Pharmacy Dispensing Site | 67 High Country Ln, Troutdale, VA 24378-2255 | 2006-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.