Active NPI
Larry L Legum MD LTD
- Dermatology Physician
- Chesapeake, VA
National Provider Identifier
1003117201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- LARRY L LEGUM MD LTD
- Practice address
- 113 Coastal Way
Chesapeake, VA 23320-4603 - Phone
- (757) 547-9401
- NPI assigned
- Nov 4, 2010
- Last updated
- Nov 4, 2010
- Organization subpart
- Yes
- Parent organization
- LARRY L LEGUM MD LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry L Legum
- Title
- President
- Phone
- (757) 547-9401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
113 Coastal Way
Chesapeake, VA 23320-4603
Mailing address
113 Coastal Way
Chesapeake, VA 23320-4603
National Provider Directory
National Provider Directory- Part of
- Larry L Legum MD LTD
Locations
113 Coastal Way
Chesapeake, VA 23320
Phone (757) 461-1103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Chesapeake, VA
- NPI 1639101256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1003117201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 COASTAL WAY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 COASTAL WAY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204603",
"telephone_number": "757-547-9401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY L LEGUM MD LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LARRY L LEGUM MD LTD",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "LEGUM",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-547-9401",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.