Beach Medical Group PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001533 Issued in VA

Legal business name

BEACH MEDICAL GROUP PC

Doing business as

Total Health Center

Practice address

1801 Pleasurehouse Rd
#105
Virginia Beach, VA 23455

Phone

(757) 363-8571

Fax

(757) 363-8239

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Todesca

Title

Medical Biller

Phone

(757) 363-8571

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Total Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Scott, DC

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1356412175
  Medicare reassignment NPD

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1043494156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PLEASUREHOUSE ROAD",
            "address_2": "#105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-363-8571",
            "fax_number": "757-363-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PLEASUREHOUSE RD",
            "address_2": "#105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-363-8571",
            "fax_number": "757-363-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "TODESCA",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "757-363-8571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001533",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0104001533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "118947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beach Health Clinic,Inc.
• Beach Hearing
• Beach Kids Pediatrics PLLC
• Beach Life Counseling & Consulting Services, PLLC (Beach Life Counseling)
• Beach Life Nutrition LLC
• Beach Medical Group, PC (Total Health Center)
• Beach Medical Suppliers LLC
• Beach Neuropsychology Services LLC
• Beach Surgical Assistants of VA, LLC
• Beach Therapy & Consulting PLLC

• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.