Provider Type Icon

JDG MEDICINE NPI 1942603147


NPI Information

NPI: 1942603147
Provider Name: JDG MEDICINE

Doing Business As: CENTER FOR COMPREHENSIVE MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
397 LITTLE NECK RD
3300 SOUTH BUILDING, SUITE 314
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 773-2668
Get Directions

JDG MEDICINE 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. JDG MEDICINE NPI is 1942603147. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Comprehensive Medicine.

The provider's business location address is:

397 LITTLE NECK RD
3300 SOUTH BUILDING, SUITE 314
VIRGINIA BEACH, VA
ZIP 23452-765
Phone: (757) 773-2668
Fax: (757) 299-4141

The provider's authorized official is Jim-david Gaglione .
The authorized official title is President and has the following contact phone number (757) 793-3644.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 10/20/2014.


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 Medicine0101048671VIRGINIAYes

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
10101048671OTHERVIRGINIALICENSE
2VAA101113MEDICARE PINVIRGINIA
31487629796OTHERVIRGINIANPI
4BG3405455OTHERVIRGINIADEA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.