Provider Demographics
NPI:1194885962
Name:FAUQUIER PHYSICIAN MANAGEMENT SERVICES INC
Entity type:Organization
Organization Name:FAUQUIER PHYSICIAN MANAGEMENT SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROYSTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:540-364-1581
Mailing Address - Street 1:8255 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20115-3253
Mailing Address - Country:US
Mailing Address - Phone:540-364-1581
Mailing Address - Fax:540-364-7314
Practice Address - Street 1:8255 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:VA
Practice Address - Zip Code:20115-3253
Practice Address - Country:US
Practice Address - Phone:540-364-1581
Practice Address - Fax:540-364-7314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC04054Medicare PIN