Provider Demographics
NPI:1801977392
Name:MONTPELIER FAMILY PRACTICE PC
Entity type:Organization
Organization Name:MONTPELIER FAMILY PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:MATTHEWS
Authorized Official - Last Name:SASSER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:804-883-5374
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-0278
Mailing Address - Country:US
Mailing Address - Phone:804-883-5374
Mailing Address - Fax:804-883-7291
Practice Address - Street 1:16644 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192-2600
Practice Address - Country:US
Practice Address - Phone:804-883-5374
Practice Address - Fax:804-883-7291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P26991Medicare UPIN
VA003512M82Medicare PIN
VAP00162664Medicare PIN
498902Medicare PIN
E30816Medicare UPIN
E57223Medicare UPIN
VA003628M82Medicare PIN
Q08039Medicare UPIN
Q47826Medicare UPIN