MASTER CENTER FOR ADDICTION MEDICINE
NPI 1477091247
Internal Medicine - Addiction Medicine in Glen Allen, VA
NPI Status: Active since February 01, 2017
Contact Information
4212 PARK PLACE CT
GLEN ALLEN, VA
ZIP 23060
Phone: (804) 332-5950
Fax: (804) 728-1086
- Organization
- Internal Medicine
- Addiction Medicine
- CLIA Number: 49D2309221
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-11-2026
About MASTER CENTER FOR ADDICTION MEDICINE
This page provides the complete NPI Profile along with additional information for Master Center For Addiction Medicine, an internist established in Glen Allen, Virginia operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1477091247 assigned on February 2017. The practitioner's primary taxonomy code is 207RA0401X with license number 0101246355 (VA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Master Center For Addiction Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Master Center For Addiction Medicine. The authorized official of this NPI record is James Edward Thompson M.d. (Cmo)
- NPI
- 1477091247
- Provider Legal Name
- VIRGINIA CENTER FOR ADDICTION MEDICINE
- Other Organization Name
- MASTER CENTER FOR ADDICTION MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4212 PARK PLACE CT GLEN ALLEN, VA 23060
- Location Phone
- (804) 332-5950
- Location Fax
- (804) 728-1086
- Mailing Address
- 4212 PARK PLACE CT GLEN ALLEN, VA 23060
- Mailing Phone
- (804) 332-5950
- Mailing Fax
- (804) 728-1086
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2017
- Last Update Date
- 01-04-2021
- Code Navigator
An internist like Master Center For Addiction Medicine is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 7280 York Ave
Gloucester, VA 23061
(804) 332-5950
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Addiction Medicine
- Taxonomy Code
- 207RA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101246355
- License State
- VA
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 0101015030 (VA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2309221
- Facility Type
- Physician Office
- Certificate Effective Date
- August 12, 2024
- Certificate Expiration Date
- August 11, 2026
- Laboratory Director
- JAMES THOMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Master Center For Addiction Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MASTER CENTER FOR ADDICTION MEDICINE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477091247, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
GLEN ALLEN, VA 23060
GLEN ALLEN, VA 23060
GLEN ALLEN, VA 23060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477091247, enumerated as an "organization" on February 01, 2017.
The provider is located at 4212 PARK PLACE CT GLEN ALLEN, VA 23060 and the phone number is (804) 332-5950.
Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.
