Active NPI
Evms Academic Physicians and Surgeons Health Services Foundation
Doing business as EVMS Medical Group
- Internal Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
- Doing business as
- EVMS Medical Group
- Practice address
- 4111 Monarch Way
Suite 500
Norfolk, VA 23508-2559 - Phone
- (757) 451-6200
- Fax
- (757) 451-6251
- NPI assigned
- Jan 27, 2006
- Last updated
- May 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James F Lind Jr.
- Title
- Chief Executive Officer
- Phone
- (757) 451-6200
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Plastic Surgery Physician | 208200000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Radiation Oncology Physician | 2085R0001X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
4111 Monarch Way
Suite 500
Norfolk, VA 23508-2559
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 451-6200
Other names 1
- EVMS Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304001377 | VA | Part B Supplier - Clinic/Group Practice | 5698675510 |
Receives reassigned benefits from 267 practitioners 1 other NPI on this enrollment Practice locations: Williamsburg, VA; Virginia Beach, VA; Norfolk, VA; Suffolk, VA; Portsmouth, VA; Newport News, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba EVMS Medical Group
- Radiation Oncology Physician
- Norfolk, VA
- NPI 1881848091
O20040304001377
National Provider Directory
National Provider DirectoryLocations (25 of 49)
748 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 382-8600
4000 Coliseum Dr
Hampton, VA 23666
Phone (757) 446-5908
500 J Clyde Morris Blvd
Ste 200
Newport News, VA 23601
4111 Monarch Way
Norfolk, VA 23508
Phone (757) 451-6266
4111 Monarch Way
Ste 500
Norfolk, VA 23508
Phone (757) 451-6200
600 Gresham Dr
#2
Norfolk, VA 23507
Phone (757) 932-5393
600 Gresham Dr
#C2584
Norfolk, VA 23507
Phone (757) 668-3483
600 Gresham Dr
Ste 1100
Norfolk, VA 23507
Phone (757) 388-6200
601 Colley Ave
#C2581
Norfolk, VA 23507
Phone (804) 446-7100
601 Colley Ave
Ste 229
Norfolk, VA 23507
Phone (757) 446-7100
651 Colley Ave
Norfolk, VA 23507
Phone (757) 446-5888
721 Fairfax Ave
#3
Norfolk, VA 23507
721 Fairfax Ave
#4
Norfolk, VA 23507
721 Fairfax Ave
Bldg C3610
Norfolk, VA 23507
Phone (804) 446-5955
721 Fairfax Ave
Fl 3
Norfolk, VA 23507
Phone (757) 446-5915
721 Fairfax Ave
Fl 3RS
Norfolk, VA 23507
721 Fairfax Ave
Fl 4
Norfolk, VA 23507
Phone (757) 446-5700
721 Fairfax Ave
Ste 244
Norfolk, VA 23507
Phone (757) 446-8400
721 Fairfax Ave
Ste 274
Norfolk, VA 23507
721 Fairfax Ave
Ste 300
Norfolk, VA 23507
721 Fairfax Ave
Ste 431A
Norfolk, VA 23507
Phone (757) 446-7040
825 Fairfax Ave
#4
Norfolk, VA 23507
Phone (757) 446-8999
825 Fairfax Ave
#C2575
Norfolk, VA 23507
Phone (804) 446-5934
825 Fairfax Ave
#C2576
Norfolk, VA 23507
Phone (804) 446-8999
825 Fairfax Ave
#C2586
Norfolk, VA 23507
Phone (804) 446-8923
Practitioners & affiliated clinicians
Practitioners 449
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.
-
- Acute Care Nurse Practitioner
- Norfolk, VA
- NPI 1821533084
-
- Maternal & Fetal Medicine Physician
- Norfolk, VA
- NPI 1225008071
Obstetrics & Gynecology
-
- Family Nurse Practitioner
- Norfolk, VA
- NPI 1295301182
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1194490532
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Norfolk, VA
- NPI 1861665697
-
- Physician Assistant
- Charlottesville, VA
- NPI 1104277417
-
- Family Nurse Practitioner
- Norfolk, VA
- NPI 1871373324
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1720260367
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Norfolk, VA
- NPI 1659386076
-
- Critical Care Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1619387560
-
- Family Medicine Physician
- Portsmouth, VA
- NPI 1023096559
-
- Family Medicine Physician
- Portsmouth, VA
- NPI 1558867093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369699200000",
"number": "1003887118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-451-6200",
"fax_number": "757-451-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 MONARCH WAY",
"address_2": "SUITE 500",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235082559",
"telephone_number": "757-451-6200",
"fax_number": "757-451-6251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2013-05-28",
"status": "A",
"authorized_official_last_name": "LIND",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "757-451-6200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EVMS Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norfolk, VA
- Tracy Evans, M.A., LPC
- Leigh A Everett, PA
- Ashka Lanelle Everette, NURSE PRACTITIONER
- Lisa A Everitt, PA
- Ajayla Evins, PH.D., CRC, NCC
- Evms Academic Physicians and Surgeons Health Services Foundation (EVMS Medical Group)
- Evms Academic Physicians and Surgeons Health Services Foundation (EVMS Medical Group)
- Evms Academic Physicians and Surgeons Health Services Foundation (EVMS Medical Group)
- Evms Academic Physicians and Surgeons Health Services Foundation (EVMS Medical Group)
- Evms Academic Physicians and Surgeons Health Services Foundation (EVMS Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.