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FAMILY MEDICINE OF LAKE RIDGE
NPI 1417045816
Family Medicine in Woodbridge, VA

Active since October 11, 2006
3401 COMMISSION CT, STE 201, WOODBRIDGE, VA 22192(703) 490-6265(703) 490-6713 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Medicine Of Lake Ridge NPPES

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

FAMILY MEDICINE OF LAKE RIDGE (NPI 1417045816) is a healthcare organization registered as a family medicine in Woodbridge, Virginia and active in the NPI registry since October 2006. The organization lists Gerry A Cope, Physician, as its authorized official.

NPPES Registry Identity

NPI1417045816
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE OF LAKE RIDGE PC
Location Address3401 COMMISSION CT, STE 201Woodbridge, VA 22192
Mailing Address3401 Commission Ct, Ste 201Woodbridge, VA 22192 · (703) 490-6265 · Fax (703) 490-6713
Phone(703) 490-6265
Fax(703) 490-6713
Organization SubpartNo
Authorized OfficialGerry A CopePhysician · (703) 490-6265
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417045816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101040586✔ Licensed in VA · 0101039027✔ Licensed in VA · 0024057411
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3401 COMMISSION CT, Woodbridge, VA 22192
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Other Names 1

Other NameFamily Medicine Of Lake Ridge

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MRS. PEGGY J BUDNIK CFNP
Family Medicine
3401 COMMISSION CT, STE 201
WOODBRIDGE, VA 22192
Prince William County (703) 490-6265
DR. PETER ALLAN MENDEL MD
Family Medicine
3401 COMMISSION CT, SUITE 201
WOODBRIDGE, VA 22192
Prince William County (703) 490-6265
MISS SHADI SHAREGHI D.D.S.
Dentist (General Practice)
3401 COMMISSION CT, SUITE 202
WOODBRIDGE, VA 22192
Prince William County (703) 494-7799
ROBERT G JAVA DDS
Dentist
3401 COMMISSION CT, SUITE 202
WOODBRIDGE, VA 22192
Prince William County (703) 494-7799
MRS. DONNA MARIE GOODIN CFNP
Nurse Practitioner (Family)
3401 COMMISSION CT, STE 201
WOODBRIDGE, VA 22192
Prince William County (703) 490-6265

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 Family Medicine Of Lake Ridge PC's NPI number?

The NPI number for Family Medicine Of Lake Ridge PC is 1417045816. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is also known as Family Medicine Of Lake Ridge.

Where is Family Medicine Of Lake Ridge PC located?

Family Medicine Of Lake Ridge PC is located at 3401 Commission Ct Ste 201, Woodbridge, VA 22192. The listed phone number is (703) 490-6265.

What is Family Medicine Of Lake Ridge PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Family Medicine Of Lake Ridge PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.