Organization Active NPI

Naval Medical Center Portsmouth

  • Military General Acute Care Hospital
  • Norfolk, VA
National Provider Identifier
1083782874
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
License
39020000X Issued in VA
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

Updated by the provider on Aug 13, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39020000XOtherVAHIPAA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.