WAKEFIELD MEDICAL CENTER – NPI #1720017379
Family Medicine

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.

WAKEFIELD MEDICAL CENTER is a provider located in WAKEFIELD, VA. NPPES has assigned the NPI number 1720017379 to WAKEFIELD MEDICAL CENTER on July 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WAKEFIELD MEDICAL CENTER” is a dba name, the actual legal business name for this organization is OBICI MEDICAL MANAGEMENT SERVICES, INC.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAKEFIELD MEDICAL CENTER below.

NPI Profile for
OBICI MEDICAL MANAGEMENT SERVICES, INC.

NPI Number
1720017379
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OBICI MEDICAL MANAGEMENT SERVICES, INC.
Doing Business As (dba): WAKEFIELD MEDICAL CENTER
Primary location
109 RAILROAD AVENUE
WAKEFIELD, VA 23434
Phone: (757) 899-3521 Fax: (757) 899-7104
Mailing address
2800 GODWIN BLVD
SUFFOLK, VA 23434-8038
Phone: (757) 934-4000 Fax:
Organization Subpart
No
Authorized Official
WILLIAM CARPENTAR
SR VP-CFO
Phone: (757) 934-4000
Updated
Identifiers

Identifiers for WAKEFIELD MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEMVA323791
OTHEROPTIMA MEDICAIDVA263206
OTHEROPTIMA/SENTARAVA41033
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
VA 0101018926

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.