STEPHAN J VIVIAN MD NPI 1619975877

NPI Information

NPI: 1619975877
Provider Name: STEPHAN J VIVIAN, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
500 J CLYDE MORRIS BLVD FL ANNEX1
NEWPORT NEWS, VA
ZIP 23601
Phone: (757) 594-2074
Get Directions

Stephan J Vivian, MD is a clinical cardiac electrophysiology internal medicine in Newport News, VA. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Stephan J Vivian, MD NPI is 1619975877. 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:

500 J CLYDE MORRIS BLVD FL ANNEX1
NEWPORT NEWS, VA
ZIP 23601-929
Phone: (757) 594-2074
Fax: (757) 594-3369

The NPI 1619975877 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 7/12/2005 and was last updated on 2/7/2022.

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	35059262V	OHIO	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	01081770A	INDIANA	No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	0101242715	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	P00445778	OTHER	VIRGINIA	MEDICARE RAILROAD
2	1619975877	MEDICAID	VIRGINIA

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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