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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0101231062 | VA | Other Service Providers |
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 Name | Type Code |
---|---|
Community Family Practice, P.C. | Doing Business As Name - Organization |
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 |
Street Address |
930 MAJESTIC AVE SUITE 210 |
City | NORFOLK |
State | VA |
Zip Code | 23504-4055 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 23504 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
Find all providers in NORFOLK |
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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.