DR. JESSE W ST CLAIR MD NPI 1477502250

NPI Information

NPI: 1477502250
Provider Name: DR. JESSE W ST CLAIR, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
1708 OLD DONATION PARKWAY
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 395-5300
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DR. Jesse W St Clair, MD is a cardiovascular disease internal medicine in Virginia Beach, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jesse W St Clair, MD NPI is 1477502250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1708 OLD DONATION PARKWAY
VIRGINIA BEACH, VA
ZIP 23454-064
Phone: (757) 395-5300
Fax: (757) 213-9341

The NPI 1477502250 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 12/1/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	0101032201	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10015738	OTHER	VIRGINIA	SENTARA OPTIMA
2	35080	OTHER	VIRGINIA	OPTIMA/SENTARA
3	1477502250	MEDICAID	VIRGINIA
4	890555R	MEDICAID	NORTH CAROLINA
5	110036997	MEDICARE PIN	VIRGINIA
6	PAR	OTHER	VIRGINIA	CORVEL/CORCARE
7	D73345	MEDICARE UPIN
8	248020	OTHER	VIRGINIA	ANTHEM
9	PAR	OTHER	VIRGINIA	USA MANAGED CARE
10	259556	OTHER	VIRGINIA	ANTHEM BCBS
11	PAR	OTHER	VIRGINIA	CIGNA
12	PAR	OTHER	VIRGINIA	AETNA
13	PAR	OTHER	VIRGINIA	VIRGINIA HEALTH NETWORK
14	PAR	OTHER	VIRGINIA	FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
15	0555R	OTHER	NORTH CAROLINA	BCBS
16	012303C92	MEDICARE PIN	VIRGINIA
17	428960	OTHER	VIRGINIA	UHC/MAMSI
18	-001	OTHER	VIRGINIA	TRICARE/CHAMPUS
19	PAR	OTHER	VIRGINIA	VIRGINIA PREMIER HEALTH
20	006055486	MEDICAID	VIRGINIA
21	VAA100451	MEDICARE PIN	VIRGINIA
22	PAR	OTHER	VIRGINIA	MULTIPLAN

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

NPI Synchronization or Removal

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