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MINI-MEDIC NPI 1033441936


NPI Information

NPI: 1033441936
Provider Name: MINI-MEDIC

Doing Business As: GLENN R. MCDERMOTT, MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1788 REPUBLIC RD
SUITE 400
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 343-4221
Get Directions

MINI-MEDIC is a family medicine in Virginia Beach, VA. The provider is 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. MINI-MEDIC NPI is 1033441936. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Glenn R. Mcdermott, Md.

The provider's business location address is:

1788 REPUBLIC RD
SUITE 400
VIRGINIA BEACH, VA
ZIP 23454-552
Phone: (757) 343-4221

The provider's authorized official is Glenn Robert Mcdermott .
The authorized official title is Owner and has the following contact phone number (757) 343-4221.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 2/3/2010.


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
1207Q00000XFamily Medicine0101034588VIRGINIAYes

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
1016800C10MEDICARE PINVIRGINIA

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: 11/14/2023

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