FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC


Address: 930 Majestic Ave, Suite 210, Norfolk, VA 23504-4055
Phone: 7576220453

FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC (NPI# 1942388202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942388202
Entity Type Organization
Organization Name FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC
Other Organization Name COMMUNITY FAMILY PRACTICE, P.C.
Practice Address 930 Majestic Ave
Suite 210
Norfolk
VA 23504-4055
Practice Telephone 7576220453
Practice Fax Number 7576220455
Mailing Telephone 7576220453
Mailing Fax Number 7576220455
Enumeration Date 2006-11-02
Last Update Date 2013-12-17
Authorized Official Name DR. ALEX P TAYLOR (PRESIDENT)
Authorized Official Telephone 7576220453
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 0101231062 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UNITED HEALTHCARE 01-03778 01
VA OPTIMA 41263 01
VA ANTHEM BLUE CROSS/SHIELD 462460 01
CIGNA 6718713 01
NC MEDICAID 89066CR 01
GROUP PTAN VAA103547 01
VA 005646375 05
VA PRIORITY HEALTHKEEPERS 462460 01
NC BLUE CROSS/SHIELD 89066 01

Other Provider/Organization Names

Other Name Type Code
Community Family Practice, P.C. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366092231 Fort Norfolk Plaza Medical Associates, LLC Clinic/Center 701 S Main St Ste A, Norfolk, VA 23523-1245 2019-09-12
1396056982 Fort Norfolk Plaza Medical Associates, LLC Internal Medicine 301 Riverview Ave Ste 500, Norfolk, VA 23510-1066 2010-06-29
1154642783 Fort Norfolk Plaza Medical Associates, LLC Family Medicine 301 Riverview Avenue, Suite 502, Norfolk, VA 23510-1064 2010-06-17
1548589617 Fort Norfolk Plaza Medical Associates, LLC Pharmacy 301 Riverview Ave, Suite 530, Norfolk, VA 23510-1065 2010-05-27
1316274145 Fort Norfolk Plaza Medical Associates, LLC Internal Medicine 301 Riverview Avenue, Suite 525, Norfolk, VA 23510-1064 2009-11-16
1699001081 Fort Norfolk Plaza Medical Associates, LLC Family Medicine 301 Riverview Avenue, Suite 500, Norfolk, VA 23510-1064 2009-10-20
1194899534 Fort Norfolk Plaza Medical Associates, LLC Family Medicine 930 Majestic Ave, Suite 220, Norfolk, VA 23504-4055 2006-11-18

Office Location

Street Address 930 MAJESTIC AVE
SUITE 210
City NORFOLK
State VA
Zip Code 23504-4055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205827607 Stat Gas Services Incorporated Durable Medical Equipment & Medical Supplies 930 Majestic Ave, Suite 110, Norfolk, VA 23504-4055 2005-11-03
1760007686 Lawanda M Wood Nurse Practitioner 930 Majestic Ave, Norfolk, VA 23504-4055 2020-06-16
1669862215 Community Family Practice, P.C. Family Medicine 930 Majestic Ave, Suite 210, Norfolk, VA 23504-4055 2015-02-03
1932507985 Primary Care Specialists, Inc Family Medicine 930 Majestic Ave, Suite 220, Norfolk, VA 23504-4055 2014-12-08
1194132621 Fort Norfolk Plaza Medical Associates Dba Primary Care Specialist Inc. Nurse Practitioner 930 Majestic Ave, Suite 220, Norfolk, VA 23504-4055 2014-07-16
1558708545 Alexandra Grace Worthington Nurse Practitioner 930 Majestic Ave, Suite 200, Norfolk, VA 23504-4055 2013-05-30
1144539941 Marechal-neil Brooks,m.d.,p.c. Internal Medicine 930 Majestic Ave, Ste.210, Norfolk, VA 23504-4055 2010-09-28
1083788913 Olivia Marie Newby Nurse Practitioner 930 Majestic Ave, Suite 220, Norfolk, VA 23504-4055 2006-11-20
1194899534 Fort Norfolk Plaza Medical Associates, LLC Family Medicine 930 Majestic Ave, Suite 220, Norfolk, VA 23504-4055 2006-11-18
1265524813 James Edward Newby II Family Medicine 930 Majestic Ave, Suite 220, Norfolk, VA 23504 2006-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932766391 Naketa Hayes Nurse's Aide 958 Saint Julian Ave, Norfolk, VA 23504 2019-05-21
1114581931 Kathleen S Thomas Specialist/Technologist 700 Park Avenue Brc-110, Norfolk, VA 23504 2019-04-26
1770008831 Michelle Denise Dunn Home Health 1015 Saint Julian Ave, Norfolk, VA 23504 2017-08-10
1235654294 International Home Health Care Home Health 1015 Saint Julian Ave., Norfolk, VA 23504 2017-08-10
1528513835 The Healthy Living Center Foundation C/o Primary Care Specialists, Inc Preferred Provider Organization 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 2016-08-17
1619355922 Healing Hands Massages Health Maintenance Organization 2581 Westminster Ave, Norfolk, VA 23504 2015-05-07
1790037554 Briggs Home Health Agency Home Health 1751 Church St Suite A, Norfolk, VA 23504 2012-10-03
1336318179 Freeman House, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2909 E Virginia Beach Blvd, Norfolk, VA 23504 2008-02-26
1720146087 Norfolk Eye Physicians & Surgeons Ltd. Ophthalmology 1005 May Avenue, Norfolk, VA 23504 2006-12-05
1659441814 Norfolk Community Health Center Inc Family Medicine 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 2006-11-08
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952818189 Gabrielle Dorann Martineau Specialist 52 Pleasant Dr, Norfolk, NY 13667-3296 2018-01-09
1548704570 Nicole Anthony Specialist 242 W 26th St, Norfolk, VA 23517-1312 2016-12-09
1497206692 Ruth Short Specialist 28 Sober St, Norfolk, NY 13667-4147 2016-10-23
1053742676 Ericka D. Thompson Specialist 400 W Brambleton Ave Ste 300, Norfolk, VA 23510-1115 2013-12-07
1831476472 Lorena Decker Specialist 870 N Military Hwy, 310, Norfolk, VA 23502-3638 2011-11-10
1568609857 Terry Escobar Specialist 6200 Curlew Dr, Norfolk, VA 23502-4718 2009-01-08
1609011568 Parker Babington Specialist 301 Riverview Ave Ste 400, Norfolk, VA 23510-1065 2008-12-07
1902094022 Retinal Consultants Inc Specialist 400 Gresham Dr Ste 802, Norfolk, VA 23507-1901 2007-10-15
1720272594 Jennifer Z Vevoda Specialist 171 Kempsville Rd Bldg A1, Norfolk, VA 23502-4700 2007-09-05
1770704819 The Orthopaedic Center for Foot & Ankle Reconstruction Specialist 100 Kingsley Ln Ste 300, Norfolk, VA 23505-4613 2007-05-02
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Competitor

Search similar providers

City NORFOLK
Zip Code 23504

Improve Information

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Dataset Information

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.

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