Active NPI
Michael Hutchinson Call, M.S.,ATC,CSCS
- Athletic Trainer
- Norfolk, VA
National Provider Identifier
1104984079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000702
- Practice address
- 1126 Magnolia Ave
Norfolk, VA 23508-1413 - Phone
- (757) 418-3487
- Fax
- (757) 489-1350
- NPI assigned
- Dec 4, 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126000702 | VA | Primary |
Addresses
Primary practice location
1126 Magnolia Ave
Norfolk, VA 23508-1413
Mailing address
1126 Magnolia Ave
Norfolk, VA 23508-1413
Phone (757) 418-3487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255A2300X | Medicaid | VA |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000702 | VA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Human Performance, P.C. | Athletic Trainer | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104984079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 MAGNOLIA AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235081413",
"telephone_number": "757-418-3487",
"fax_number": "757-489-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 MAGNOLIA AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235081413",
"telephone_number": "757-418-3487",
"fax_number": "757-489-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALL",
"first_name": "MICHAEL",
"middle_name": "HUTCHINSON",
"name_prefix": "Mr.",
"credential": "M.S.,ATC,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2255A2300X",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.