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NORFOLK PLASTIC SURGERY PC NPI 1174615447


NPI Information

NPI: 1174615447
Provider Name: NORFOLK PLASTIC SURGERY, PC

Former Legal Business Name: LAWRENCE B. COLEN PLASTIC SURGERY

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
6161 KEMPSVILLE CIR
SUITE 300
NORFOLK, VA
ZIP 23502
Phone: (757) 466-1000
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NORFOLK PLASTIC SURGERY, PC is a plastic and reconstructive surgery surgery in Norfolk, VA. The provider is a surgeon who specializes in plastic and reconstructive surgery. NORFOLK PLASTIC SURGERY, PC NPI is 1174615447. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Lawrence B. Colen Plastic Surgery.

The provider's business location address is:

6161 KEMPSVILLE CIR
SUITE 300
NORFOLK, VA
ZIP 23502-932
Phone: (757) 466-1000
Fax: (757) 466-7788

The provider's authorized official is Cindy L Creech .
The authorized official title is Billing Coordinator and has the following contact phone number (919) 763-0123.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery0101056114VIRGINIANo
22086S0122XSurgeryPlastic and Reconstructive Surgery0101044977VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10101056114OTHERVIRGINIALICENSE
224004907OTHERRAILROAD MEDICARE
3278499OTHERBCBS
4295242OTHERVIRGINIABCBS GROUP
5006900151MEDICAIDVIRGINIA
6E71399OTHERUPIN
7006902090MEDICAIDVIRGINIA
865573OTHEROPTIMA
9H36682OTHERUPIN
10024565OTHERBCBS
1115781OTHEROPTIMA
123755OTHERASPRS
13890686CMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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