Active NPI
Naval Medical Center Portsmouth
- Military General Acute Care Hospital
- Norfolk, VA
National Provider Identifier
1083782874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military General Acute Care Hospital
- License
- 39020000X
- Legal business name
- NAVAL MEDICAL CENTER PORTSMOUTH
- Practice address
- 411 Granby St Apt 48
Norfolk, VA 23510-1935 - Phone
- (757) 669-4013
- NPI assigned
- Dec 1, 2006
- 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
- Dr. Amy M Holmberg, M.D.
- Title
- Intern
- Phone
- (757) 669-4013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military General Acute Care Hospital | 2865M2000X | 39020000X | VA | Primary |
Addresses
Primary practice location
411 Granby St Apt 48
Norfolk, VA 23510-1935
Mailing address
411 Granby St Apt 48
Norfolk, VA 23510-1935
Phone (757) 669-4013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39020000X | Other | VA | HIPAA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1083782874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 GRANBY ST APT 48",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101935",
"telephone_number": "757-669-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 GRANBY ST APT 48",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101935",
"telephone_number": "757-669-4013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVAL MEDICAL CENTER PORTSMOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "HOLMBERG",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "INTERN",
"authorized_official_telephone_number": "757-669-4013",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2865M2000X",
"taxonomy_group": "",
"desc": "Military Hospital, Military General Acute Care Hospital",
"state": "VA",
"license": "39020000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIPAA",
"identifier": "39020000X",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
- National Optometry Steven Kasinof and 17 Associates Optometrists
- National Seating & Mobility, Inc.
- National Vision, Inc.
- Michael James Naughton, M.D.
- Katherine A Nault
- Naval Special Warfare Group Three Det Little Creek
- Leyla Navarro-Salazar
- Crystal Johanna Rebecca Navarro, NP
- Salimah Navaz Gangji, DO
- Ronald E Nave, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.