INDIAN RIVER FAMILY PRACTICE PC
NPI 1629155122
Family Medicine in Chesapeake, VA

Active since November 01, 2006
1016 JUSTIS ST, CHESAPEAKE, VA 23325(757) 420-8297(757) 523-5639 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indian River Family Practice Pc NPPES

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

INDIAN RIVER FAMILY PRACTICE PC (NPI 1629155122) is a healthcare organization registered as a family medicine in Chesapeake, Virginia and active in the NPI registry since November 2006. The organization lists Larry Howard Kagan, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1629155122
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDIAN RIVER FAMILY PRACTICE PC
Location Address1016 JUSTIS STChesapeake, VA 23325
Mailing Address1016 Justis StChesapeake, VA 23325 · (757) 420-8297 · Fax (757) 523-5639
Fax(757) 523-5639
Organization SubpartNo
Authorized OfficialLarry Howard KaganSecretary Treasurer · (757) 420-8297
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1629155122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1016 JUSTIS ST, Chesapeake, VA 23325

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 6

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

Family Medicine
1016 JUSTIS ST
CHESAPEAKE, VA 23325
Family Medicine
1016 JUSTIS ST
CHESAPEAKE, VA 23325
Family Medicine
1016 JUSTIS ST
CHESAPEAKE, VA 23325
Family Medicine
1016 JUSTIS ST
CHESAPEAKE, VA 23325
Family Medicine
1016 JUSTIS ST
CHESAPEAKE, VA 23325
Physician Assistant
1016 JUSTIS ST
CHESAPEAKE, VA 23325

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 Indian River Family Practice PC's NPI number?

The NPI number for Indian River Family Practice PC is 1629155122. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Indian River Family Practice PC located?

Indian River Family Practice PC is located at 1016 Justis St, Chesapeake, VA 23325. The listed phone number is (757) 420-8297.

What is Indian River Family Practice 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 Indian River Family Practice PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.