NAVAL MEDICAL CENTER PORTSMOUTH (NPI# 1649379769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649379769 |
| Entity Type | Organization |
| Organization Name | NAVAL MEDICAL CENTER PORTSMOUTH |
| Practice Address |
1721 Taussig Blvd Norfolk VA 23511-2899 |
| Mailing Address |
620 John Paul Jones Cir Attn Mrs Goodrich 3rd Party Collection Portsmouth VA 23708-2111 |
| Practice Telephone | 7573146219 |
| Practice Fax Number | 7574459687 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL MEDICAL CENTER PORTSMOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2104769 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114403961 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 7021 Harbor View Blvd, Suffolk, VA 23435-2869 | 2018-07-16 |
| 1508270950 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 | 2014-06-13 |
| 1205249059 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 | 2014-06-10 |
| 1669746822 | Naval Medical Center Portsmouth | Military Hospital | 620 John Paul Circle, Portsmouth, VA 23708 | 2012-03-05 |
| 1083782874 | Naval Medical Center Portsmouth | Military Hospital | 411 Granby St Apt 48, Norfolk, VA 23510-1935 | 2006-12-01 |
| 1609966936 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 | 2006-10-16 |
| 1740389865 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 | 2006-09-22 |
| 1861599615 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1317 Ballahack Rd Ste 100, Chesapeake, VA 23322-2499 | 2006-09-20 |
| 1891769840 | Naval Medical Center Portsmouth | Military Hospital | Naval Medical Center Posrtsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2006-02-15 |
| 1366929069 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 27 Effingham St, Portsmouth, VA 23708 | 2018-07-25 |
| Street Address |
1721 TAUSSIG BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511-2899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110127 | David Gutierrez | Physician Assistant | 1721 Taussig Blvd, Norfolk, VA 23511 | 2005-08-10 |
| 1598998536 | Heather Allison Anderson | Military Health Care Provider | 1721 Taussig Blvd, Jason Dunham Ddg 109 Naval Station Norfolk, Norfolk, VA 23511-2899 | 2009-08-25 |
| 1053573667 | Wayne M Shurtz | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511 | 2008-06-26 |
| 1881811586 | Frank Garcia | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511-2298 | 2007-04-20 |
| 1639146632 | Edward Robin Spearman | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-03-08 |
| 1407828965 | Thomas E Clasen | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-02-07 |
| 1083686315 | Roberto Adrian Gonzalez | Family Medicine | 1721 Taussig Blvd, Navy Branch Medical Clinic Sewels Point, Norfolk, VA 23511-2899 | 2006-02-02 |
| 1679544233 | Loretta Martin | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| 1376514935 | Melanie Kaye O'banion | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| 1710958327 | Elizabeth Carden Peckens | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205249059 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172183 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 | 2019-09-11 |
| 1114403961 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 7021 Harbor View Blvd, Suffolk, VA 23435-2869 | 2018-07-16 |
| 1437563269 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 8651 John J Kingman Rd, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-6200 | 2014-06-19 |
| 1508270950 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 | 2014-06-13 |
| 1467680819 | World Class Marketing Inc | Military/U.S. Coast Guard Pharmacy | 1814 Kecoughtan Rd, Suite B, Hampton, VA 23661-2834 | 2009-06-24 |
| 1609966936 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 | 2006-10-16 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1659470771 | 1st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 65 Spaatz Dr, Langley Afb, VA 23665-2027 | 2006-09-22 |
| 1740389865 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.