Active NPI
Peninsula Pulmonary Associates PC
- Specialist
- Newport News, VA
National Provider Identifier
1124038849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PENINSULA PULMONARY ASSOCIATES PC
- Practice address
- 500 J Clyde Morris Blvd
Newport News, VA 23601-1929 - Phone
- (757) 594-2732
- NPI assigned
- Aug 8, 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
- Mrs. Lorraine Lindsay Watkins
- Title
- Administrator
- Phone
- (757) 594-3084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | VA | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Mailing address
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000006899 | Other | VA | ANTHEM GROUP PROVIDER |
National Provider Directory
National Provider DirectoryLocations
12200 Warwick Blvd
Ste 290
Newport News, VA 23601
Phone (757) 534-5454
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Newport News, VA
- NPI 1982601993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1124038849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-2732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENINSULA PULMONARY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "LORRAINE",
"authorized_official_middle_name": "LINDSAY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-594-3084",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP PROVIDER",
"identifier": "0000000006899",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
- Peninsula Pediatric Dentistry, P.C.
- Peninsula Pediatric Psychiatry
- Peninsula Pediatrics LTD
- Peninsula Pharmacy Services
- Peninsula Pharmacy Services LLC
- Peninsula Radiological Associates Limited
- Peninsula Surgery Center LLC
- Peninsula Therapy Center, PLC
- Peninsula Williamsburg Cardiology Assoc
- Courtney Brooke Penn, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.