Commonwealth Primary Care, NPI 1336157858
Internal Medicine Physician in Glen Allen, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1336157858
NPI Entity Type Organization
Provider Name Commonwealth Primary Care
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4050 Innslake Dr, Ste 308, Glen Allen, VA, US
Provider Mailing Address 4050 Innslake Dr, Ste 308, Glen Allen, VA, US, 230603327
Is Sole Proprietor? No
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Organization Official

Official Name MS. Kelly Shepherd
Official Position HOSPITALIST ADMINISTRATOR
Phone 804-521-5315

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207R00000X

Taxonomy Name Internal Medicine Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Organization Name

CPC Hospitalist Division
Doing Business As

Business Address

Commonwealth Primary Care
4050 Innslake Dr
Ste 308

Glen Allen, VA, US

Phone: 804-521-5310
Fax: 804-521-5312

Mailing Address

Commonwealth Primary Care
4050 Innslake Dr
Ste 308
Glen Allen, VA, US
ZIP 230603327
Phone: 804-521-5315
Fax: 804-521-5312

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Q00000X

Allopathic & Osteopathic Physicians

Family Medicine

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
139444 VA ANTHEM BCBS 01
CC6597 VA MEDICARE RR 01
139440 VA ANTHEM BCBS 01

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