Cape Charles Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101038467 Issued in VA

Legal business name

CAPE CHARLES MEDICAL CENTER

Practice address

216 Mason Ave
Cape Charles, VA 23310-3200

Phone

(757) 331-1422

Fax

(757) 331-1624

NPI assigned

Oct 3, 2006

Last updated

Dec 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Gregory ClarkeNPI 1346225695

Title

President

Phone

(757) 331-1422

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Gregory Clarke

  • Family Medicine Physician
  • Cape Charles, VA
  • NPI 1346225695
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1124112198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MASON AVE",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233103200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MASON AVE",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233103200",
            "telephone_number": "757-331-1422",
            "fax_number": "757-331-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CHARLES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-331-1422"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101038467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP #",
            "identifier": "454260",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN NUMBER",
            "identifier": "C08218",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005642434",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005642451",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP#",
            "identifier": "CJ8918",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Edward Bull III, D.C.
• Tashica S Burton
• Elizabeth Nicole Cabello, ATC
• Cindy Annelise Cade, MA CCC-SLP
• Jennifer Brooke Callahan
• Cape Charles Rescue Service Inc
• Mark Gregory Clarke
• Coastal Craftsman Builders, LLC
• Rebecca Ellen Creed, LCSW
• Carma Turlington Dabinett

• Family Medicine Physician in Cape Charles, VA
• Providers in Cape Charles, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.