WYNDHURST FAMILY MEDICINE, P.C. - NPI 1902095540 - Family Medicine in Lynchburg, VA

Q: What is Wyndhurst Family Medicine, P.C.'s NPI number?

The NPI number for Wyndhurst Family Medicine, P.C. is 1902095540. It was assigned to this organization in the NPPES registry on October 19, 2007.

Q: What is Wyndhurst Family Medicine, P.C.'s specialty?

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

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About Wyndhurst Family Medicine, P.c. NPPES

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

WYNDHURST FAMILY MEDICINE, P.C. (NPI 1902095540) is a healthcare organization registered as a family medicine in Lynchburg, Virginia and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Craig John Petry, Presid, as its authorized official.

NPPES Registry Identity

NPI1902095540

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWYNDHURST FAMILY MEDICINE, P.C.

Location Address102 ARCHWAY CTLynchburg, VA 24502-2889

Mailing Address102 Archway CtLynchburg, VA 24502-2889 · (434) 237-3664 · Fax (434) 237-3711

Phone(434) 237-3664

Fax(434) 237-3711

Organization SubpartNo

Authorized OfficialCraig John PetryPresid · (434) 237-3664

Enumeration DateOctober 19, 2007

✔ NPI 1902095540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101059194

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.

102 ARCHWAY CT, Lynchburg, VA 24502

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Other Identifiers 3

Medicare UPING56218VA

Medicare PIN005815W54VA

Other146316VA · Anthem

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

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 49D1034054

Wyndhurst Family Medicine · Lynchburg, VA

Active · expires Nov 22, 2026

CLIA Number49D1034054

Laboratory TypePhysician Office

Certificate Effective DateNovember 23, 2024

Certificate Expiration DateNovember 22, 2026

Laboratory DirectorCraig J. Petry, MD

Laboratory Phone(434) 237-3664

Laboratory LocationWyndhurst Family Medicine102 Archway Court, Lynchburg, VA 24502

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 8

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

DR. CRAIG JOHN PETRY M.D.

Family Medicine