Provider Demographics
NPI:1518005982
Name:WILLIAMSBURG SQUARE FAMILY PRACTICE,P.C.
Entity Type:Organization
Organization Name:WILLIAMSBURG SQUARE FAMILY PRACTICE,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:CIAMPI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-339-7788
Mailing Address - Street 1:9500 RICHMOND HWY
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2124
Mailing Address - Country:US
Mailing Address - Phone:703-339-7788
Mailing Address - Fax:
Practice Address - Street 1:9500 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2124
Practice Address - Country:US
Practice Address - Phone:703-339-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3110603OtherCIGNA
VA5617928Medicaid
VA5617979Medicaid
VA6075013-006OtherDR. CIAMPI - CIGNA HMO
VA889034OtherMDIPA AND OPT CHOICE
VA289035OtherALLIANCE AND MAMSI
VA215089OtherANTHEM
VA296665OtherALLIANCE AND MAMSI
VA4188961-005OtherDR. GALLINI - CIGNA HMO
VA289304OtherALLIANCE AND MAMSI
VA41810OtherAETNA
VA5643147Medicaid
VA8100OtherCAREFIRST BLUECHOICE
VA=========OtherNCPPO
VA215089OtherANTHEM
VA=========OtherFIRST HEALTH
VA889034OtherMDIPA AND OPT CHOICE
VA289304OtherALLIANCE AND MAMSI
VAF42648Medicare UPIN
VAG09387Medicare UPIN
VA5617928Medicaid