Active NPI
Harvey Sheldon St. Clair, M.D.
- Pediatric Orthopaedic Surgery Physician
- Norfolk, VA
National Provider Identifier
1023023793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 0101036643
- Practice address
- 171 Kempsville Rd
Building a
Norfolk, VA 23502-4700 - Phone
- (757) 668-6550
- Fax
- (757) 668-6544
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 0101036643 | VA | Primary |
Addresses
Primary practice location
171 Kempsville Rd
Building a
Norfolk, VA 23502-4700
Mailing address
PO Box 741593
Atlanta, GA 30374-1593
Phone (757) 668-8544
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023095C41 | Other | VA | MEDICARE |
| 09-00056 | Other | VA | UHC |
| 006406971 | Other | VA | VIRIGNIA PREMIER |
| 54956 | Other | VA | MAMSI/OPTIMUM CHOICE |
| 690543C | Other | VA | NORTH CAROLINA MEDICAID |
| 006406971 | Medicaid | VA | |
| 15157 | Other | VA | OPTIMA/SENTARA HEALTH |
| 4004870 | Other | VA | AETNA |
| 615713 | Other | NC | NC PPO |
| 1023023793 | Other | VA | TRICARE |
| 253795 | Other | VA | ANTHEM BCBS |
| 2559256006 | Other | VA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101036643 | VA | MD | Pediatric Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1023023793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741593",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741593",
"telephone_number": "757-668-8544",
"fax_number": "757-668-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 KEMPSVILLE RD",
"address_2": "BUILDING A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024700",
"telephone_number": "757-668-6550",
"fax_number": "757-668-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. CLAIR",
"first_name": "HARVEY",
"middle_name": "SHELDON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "VA",
"license": "0101036643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "023095C41",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "09-00056",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRIGNIA PREMIER",
"identifier": "006406971",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/OPTIMUM CHOICE",
"identifier": "54956",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAID",
"identifier": "690543C",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006406971",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA HEALTH",
"identifier": "15157",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4004870",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PPO",
"identifier": "615713",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1023023793",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "253795",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2559256006",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 11, 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.