Hampton Roads Medical Specialists PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

0101028335 Issued in VA

Legal business name

HAMPTON ROADS MEDICAL SPECIALISTS PC

Practice address

2131 S Bonito Way
Meridian, ID 83642-1659

Phone

(208) 489-9500

NPI assigned

Mar 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen L Green, MD

Title

President

Phone

(757) 869-9922

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1013986579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TOWN CENTER WAY # 704",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661999",
            "telephone_number": "757-771-8049",
            "fax_number": "757-851-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S BONITO WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421659",
            "telephone_number": "208-489-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS MEDICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-869-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101028335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006069479",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1477679496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORPORATION",
            "identifier": "1013986579",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colby Hammer, LCPC
• Dani Hammer
• Amy Hammond, PHARMD
• Nicholas Shawn Hammond
• Danielle Hammudeh
• Rhianna Hampton, LMSW
• Miranda Dawn Hamstra
• Allen C Han, MD
• Kelly Lynn Hancock, PHARMD.
• Kathryn Handel, PHARMD

• Infectious Disease Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Infectious Disease Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.