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MID-ATLANTIC FAMILY PRACTICE NPI 1477766020


NPI Information

NPI: 1477766020
Provider Name: MID-ATLANTIC FAMILY PRACTICE
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1020 INDEPENDENCE BLVD
#103
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 460-2171
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MID-ATLANTIC FAMILY PRACTICE is an adult medicine family medicine in Virginia Beach, VA. The provider is definition to come. MID-ATLANTIC FAMILY PRACTICE NPI is 1477766020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 INDEPENDENCE BLVD
#103
VIRGINIA BEACH, VA
ZIP 23455-500
Phone: (757) 460-2171

The provider's authorized official is Michelle Elizabeth Kingsbury .
The authorized official title is Owner and has the following contact phone number (757) 460-2171.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 5/14/2008.


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
1207QA0505XFamily MedicineAdult Medicine0101047049VIRGINIAYes

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
1CO8587MEDICARE ID-TYPE UNSPECIFIEDVIRGINIACOMPANY BILLING NUMBER
2298394OTHERVIRGINIAMAMSI
31669473260OTHERVIRGINIAPROVIDER NPI
42944020OTHERVIRGINIAAETNA/US HEALTHCARE
5C08587MEDICARE PINVIRGINIA
660522OTHEROPTIMA
7292836OTHERVIRGINIAANTHEM BCBS
8F77468MEDICARE UPINVIRGINIA
9CK8605OTHERVIRGINIAMEDICARE RAILROAD
10=========OTHERVIRGINIACIGNA
11005645697MEDICAIDVIRGINIA

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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