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MEDI WEIGHTLOSS
NPI 1407232770
Family Medicine - Obesity Medicine in Glen Allen, VA

Active since August 10, 2015CLIA 49D2004381 · Waiver
11551 NUCKOLS RD, SUITE C, GLEN ALLEN, VA 23059(804) 888-6800 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medi Weightloss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDI WEIGHTLOSS (NPI 1407232770) is a healthcare organization registered as an obesity medicine in Glen Allen, Virginia and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Christopher K Currin, Coo, as its authorized official.

NPPES Registry Identity

NPI1407232770
Entity TypeOrganization
Primary Taxonomy207QB0002X
Legal Business NameSHORT PUMP WELLNESS CLINIC, LLC
Location Address11551 NUCKOLS RD, SUITE CGlen Allen, VA 23059-5565
Mailing Address230 Browns Way RdMidlothian, VA 23114-9501 · (804) 419-9101
Phone(804) 888-6800
Organization SubpartNo
Authorized OfficialChristopher K CurrinCoo · (804) 717-5000
Enumeration DateAugust 10, 2015
✔ NPI 1407232770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
Definition
A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
11551 NUCKOLS RD, Glen Allen, VA 23059
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Other Names 1

Doing Business AsMedi Weightloss

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2004381

Glen Allen Medi LLC Dba Medi Weight Loss Clinic · Glen Allen, VA
Active · expires Mar 2, 2028
CLIA Number49D2004381
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorJohn Ciurash
Laboratory Phone(804) 888-6800
Laboratory LocationGlen Allen Medi LLC Dba Medi Weight Loss Clinic11551 Nuckols Road - Suite C, Glen Allen, VA 23059
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2011464

Medi Weightloss Clinics · Glen Allen, VA
Expired · Aug 16, 2026
CLIA Number49D2011464
Laboratory TypePractitioner Other
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorDanny W. Shaban
Laboratory Phone(804) 888-6800
Laboratory LocationMedi Weightloss Clinics11551 Nuckols Road - Suite C, Glen Allen, VA 23058
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROWNING WEEKS DAILEY
Nurse Practitioner
11551 NUCKOLS RD
GLEN ALLEN, VA 23059
Hanover County (804) 888-6800
TAMARA ALBERTI SUTHERLAND M.D.
Pediatrics
11551 NUCKOLS RD, SUITE F
GLEN ALLEN, VA 23059
Hanover County (804) 364-4400
ASSOCIATES IN PEDIATRICS
Pediatrics
11551 NUCKOLS RD, SUITE F
GLEN ALLEN, VA 23059
Hanover County (808) 364-4400
CAITLIN DONLAN NP
Pediatrics
11551 NUCKOLS RD
GLEN ALLEN, VA 23059
Hanover County (804) 364-4400
KEITH ANDREW DERCO M.D.
Pediatrics
11551 NUCKOLS RD, SUITE F
GLEN ALLEN, VA 23059
Hanover County (804) 364-4400
PEDIATRIC PARTNERS OF VIRGINIA, LLC
Pediatrics
11551 NUCKOLS RD, SUITE F
GLEN ALLEN, VA 23059
Hanover County (804) 364-4400
TINA NELSON
Nurse Practitioner (Family)
11551 NUCKOLS RD
GLEN ALLEN, VA 23059
Hanover County (804) 426-6913
DOMINION BEHAVIORAL HEALTHCARE
Psychologist
11551 NUCKOLS RD, SUITE F
GLEN ALLEN, VA 23059
Hanover County (804) 364-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Short Pump Wellness Clinic, LLC's NPI number?

The NPI number for Short Pump Wellness Clinic, LLC is 1407232770. It was assigned to this organization in the NPPES registry on August 10, 2015. The provider is doing business as Medi Weightloss.

Where is Short Pump Wellness Clinic, LLC located?

Short Pump Wellness Clinic, LLC is located at 11551 Nuckols Rd Suite C, Glen Allen, VA 23059. The listed phone number is (804) 888-6800.

What is Short Pump Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Does Short Pump Wellness Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2004381) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Short Pump Wellness Clinic, LLC was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.