COMMONWEALTH SURGERY SPECIALIST, P.C.
NPI 1417973090
Surgery in Fredericksburg, VA

NPI Status: Active since July 15, 2006

Contact Information

306 CAMBRIDGE ST
FREDERICKSBURG, VA
ZIP 22405
Phone: (540) 371-7372
Fax: (540) 371-3002

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  • Organization
  • Surgery
  • CLIA Number: 49D2195763
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-12-2026

About COMMONWEALTH SURGERY SPECIALIST, P.C.

This page provides the complete NPI Profile along with additional information for Commonwealth Surgery Specialist, P.c., a provider established in Fredericksburg, Virginia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1417973090 assigned on July 2006. The practitioner's primary taxonomy code is 208600000X with license number 0101235589 (VA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Richard Shane Palmer M.d. (Physician/owner)

NPI
1417973090
Provider Name
COMMONWEALTH SURGERY SPECIALIST, P.C.
Entity Type
Organization
Location Address
306 CAMBRIDGE ST FREDERICKSBURG, VA 22405
Location Phone
(540) 371-7372
Location Fax
(540) 371-3002
Mailing Address
306 CAMBRIDGE ST FREDERICKSBURG, VA 22405
Mailing Phone
(540) 371-7372
Mailing Fax
(540) 371-3002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2006
Last Update Date
09-09-2015
Code Navigator

A surgeon like Commonwealth Surgery Specialist, P.c. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
0101235589
License State
VA
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD SHANE PALMER M.D.

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(540) 371-7372

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C08913MEDICARE PIN (08)VA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2195763
Facility Type
Assisted Living Facility
Certificate Effective Date
October 13, 2024
Certificate Expiration Date
October 12, 2026
Laboratory Director
MICHELLE HAMILTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Commonwealth Surgery Specialist, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417973090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271876018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 8 + 7 + 6 + 0 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1417973090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275522393 RICHARD SHANE PALMER M.D.
Individual
Surgery306 CAMBRIDGE ST
FREDERICKSBURG, VA 22405
(540) 371-7372
1477372894 DIAMOND D EDWARDS RBT
Individual
Behavior Technician306 CAMBRIDGE ST
FREDERICKSBURG, VA 22405
(540) 356-5979
1760207583 BRIANA CRONMILLER
Individual
Behavior Technician306 CAMBRIDGE ST
FREDERICKSBURG, VA 22405
(540) 356-5979
1477363638 ALAISIA WHEELER
Individual
Behavior Technician306 CAMBRIDGE ST
FREDERICKSBURG, VA 22405
(540) 356-5979
1538964077 MARIA CHRISTINA SQUIF
Individual
Behavior Technician306 CAMBRIDGE ST
FREDERICKSBURG, VA 22405
(540) 356-5979

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417973090, enumerated in the NPI registry as an "organization" on July 15, 2006

The provider is located at 306 Cambridge St Fredericksburg, Va 22405 and the phone number is (540) 371-7372

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 49D2195763 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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