Organization Active NPI

Evms Academic Physicians and Surgeons Health Services Foundation

Doing business as EVMS Medical Group

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1003887118
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations (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.

View all 449

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

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.

Verify at the official NPI Registry.