CENTERWELL SENIOR PRIMARY CARE VA PLLC NPI 1831963842

NPI Details

CENTERWELL SENIOR PRIMARY CARE VA PLLC is an internal medicine in Portsmouth, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTERWELL SENIOR PRIMARY CARE VA PLLC NPI is 1831963842. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Centerwell Senior Primary Care Va Pc.

The provider's business location address is:

1817 FREDERICK BLVD
PORTSMOUTH, VA
ZIP 23707
Phone: (757) 695-5181
Fax: (877) 976-4063

The provider's authorized official is Angie Martinez .
The authorized official title is Senior Credentialing Professional and has the following contact phone number (407) 447-7120.

The CLIA number assigned to this NPI record is 49D2304658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2023 and was last updated on 8/19/2024.

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: