Provider Demographics
NPI:1578609384
Name:VIRGINIA PHYSICIANS, INC
Entity Type:Organization
Organization Name:VIRGINIA PHYSICIANS, INC
Other - Org Name:REYNOLDS PRIMARY CARE (INTERNAL MEDICINE)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTIOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-346-1515
Mailing Address - Street 1:6900 FOREST AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1729
Mailing Address - Country:US
Mailing Address - Phone:804-346-1515
Mailing Address - Fax:804-270-2888
Practice Address - Street 1:6900 FOREST AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1729
Practice Address - Country:US
Practice Address - Phone:804-346-1515
Practice Address - Fax:804-270-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
B4715OtherMEDICARE RAILROAD PIN
VAC05724Medicare Oscar/Certification
VAC05724Medicare ID - Type Unspecified