Provider Demographics
NPI:1750302337
Name:JENNINGS, C FOSTER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:C
Middle Name:FOSTER
Last Name:JENNINGS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-521-5800
Mailing Address - Fax:804-545-4340
Practice Address - Street 1:8700 STONY POINT PKWY STE 120
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1965
Practice Address - Country:US
Practice Address - Phone:804-323-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042228207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA27413300OtherFEDERAL BLACK LUNG
VA276201OtherANTHEM/VA HEALTHKEEPERS
VA99144OtherSENTARA HEALTH/OPTIMA
VA103807OtherANTHEM/VA HEALTHKEEPERS
VA1448314OtherCIGNA
VA75957OtherSOUTHERN HEALTH SERVICES
VA276274OtherANTHEM/VA HEALTHKEEPERS
VA276298OtherANTHEM/VA HEALTHKEEPERS
VA60046904OtherRAILROAD MEDICARE
VA376357OtherANTHEM/VA HEALTHKEEPERS
VA5809851Medicaid
VA25-00069OtherUNITED HEALTHCARE
VA552179OtherAETNA/US HEALTHCARE HMO
VA276232OtherANTHEM/VA HEALTHKEEPERS
VA276250OtherANTHEM/VA HEALTHKEEPERS
VA4120028OtherAETNA/US HEALTHCARE
VA1448314OtherCIGNA
VA5809851Medicaid