Chan M Park Family Practice
NPI 1164243986ActiveOrganization· Family Medicine· Ridgeway, VA
Family Medicine in Ridgeway, Virginia, registered in NPPES in October 2024. The authorized official on file is Curtsher Thobbs, Office Manager.
Overview
| NPI | 1164243986 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2024 |
| Last updated in NPPES | Nov 12, 2025 |
| Certified by provider | Nov 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other family medicine physicians in Ridgeway
- 1417915547
- 1457467037