PENINSULA WILLIAMSBURG CARDIOLOGY ASSOC NPI 1467580472

NPI Information

NPI: 1467580472
Provider Name: PENINSULA WILLIAMSBURG CARDIOLOGY ASSOC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
12720 MCMANUS BLVD
SUITE 201
NEWPORT NEWS, VA
ZIP 23602
Phone: (757) 875-5332
Get Directions

PENINSULA WILLIAMSBURG CARDIOLOGY ASSOC is a cardiovascular disease internal medicine in Newport News, 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. PENINSULA WILLIAMSBURG CARDIOLOGY ASSOC NPI is 1467580472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12720 MCMANUS BLVD
SUITE 201
NEWPORT NEWS, VA
ZIP 23602-414
Phone: (757) 875-5332
Fax: (787) 874-1545

The provider's authorized official is Sandra Clay Dodd .
The authorized official title is Office Manager and has the following contact phone number (757) 875-5332.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 6/6/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	0101036628	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	C09393	MEDICARE PIN

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: 5/5/2024

NPI Synchronization or Removal

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