PORT WARWICK SURGERY CENTER LLC NPI 1700341468

NPI Information

  • NPI: 1700341468
  • Provider Name: PORT WARWICK SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 49D2148409
  • Address: 1031 LOFTIS BLVD
    NEWPORT NEWS, VA
    ZIP 23606
  • Phone: (757) 735-9696

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NPI Details

PORT WARWICK SURGERY CENTER, LLC is an ambulatory surgical clinic center in Newport News, VA. PORT WARWICK SURGERY CENTER, LLC NPI is 1700341468. The provider is registered as an organization entity type.

The provider's business location address is:

1031 LOFTIS BLVD
NEWPORT NEWS, VA
ZIP 23606-981
Phone: (757) 735-9696

The provider's authorized official is Kirkpatrick Kapua Conley .
The authorized official title is President and has the following contact phone number (757) 736-2655.

The CLIA number assigned to this NPI record is 49D2148409 - other - dentist with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2019 and was last updated on 2/7/2019.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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