Organization Active NPI

Cardiovascular Center of Hampton Roads

  • Cardiovascular Disease Physician
  • Newport News, VA
National Provider Identifier
1124055470
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
635042 Issued in VA
Legal business name
CARDIOVASCULAR CENTER OF HAMPTON ROADS
Practice address
11803 Jefferson Ave
Suite 110
Newport News, VA 23606-2565
Phone
(757) 873-0360
Fax
(757) 873-0847
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Hugh B McCormick Jr., M.D.
Title
President
Phone
(757) 873-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 635042 VA Primary

Addresses

Primary practice location

11803 Jefferson Ave
Suite 110
Newport News, VA 23606-2565

Mailing address

11803 Jefferson Ave
Suite 110
Newport News, VA 23606-2565
Phone (757) 873-0360

Other identifiers 1

IdentifierTypeStateIssuer
142014OtherVAGROUP IDENTIFIER

National Provider Directory

National Provider Directory

Locations

4000 Coliseum Dr
Ste 210
Hampton, VA 23666
Phone (757) 827-2490

11803 Jefferson Ave
Ste 110
Newport News, VA 23606
Phone (757) 594-2074

5231 John Tyler Hwy
Williamsburg, VA 23185
Phone (757) 220-8300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124055470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE",
            "address_2": "SUITE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062565",
            "telephone_number": "757-873-0360",
            "fax_number": "757-873-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE",
            "address_2": "SUITE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062565",
            "telephone_number": "757-873-0360",
            "fax_number": "757-873-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CENTER OF HAMPTON ROADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-873-0360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "635042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP IDENTIFIER",
            "identifier": "142014",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.