Family Medicine of Lake Ridge PC
NPI 1417045816ActiveOrganization· Family Medicine· Woodbridge, VA
Family Medicine in Woodbridge, Virginia, registered in NPPES in October 2006. The authorized official on file is Gerry A. Cope, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417045816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101040586 | VA |
| Family Medicine | 207Q00000X | 0101039027 | VA |
| Family Medicine | 207Q00000X | 0024057411 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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