# COMMONWEALTH FAMILY PRACTICE LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215936547
- **Authorized official:** DR. MARIANNE LAND SIEGRIST DO (VICE PRESIDENT CEO)
- **Authorized official phone:** (804) 748-6229

## Contact information

- **Practice address:** 10201 KRAUSE RD, CHESTERFIELD, VA 23832-6575
- **Practice address phone:** (804) 748-6229
- **Practice address fax:** (804) 748-5909
- **Mailing address:** 10201 KRAUSE RD, CHESTERFIELD, VA 23832-6575
- **Mailing address phone:** (804) 748-6229
- **Mailing address fax:** (804) 748-5909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0102037160 | VA | — |
| 208D00000X | General Practice Physician | 0102037170 | VA | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 287512 | BLUE CROSS-BLUE SHIELD | — |
| 01 | — | 318871 | BLUE CROSS/BLUE SHIELD | — |
| 01 | — | H9571 | RAILROAD MEDICARE | — |