Active NPI
Ken J Tompkins MD PC
- Dermatology Physician
- Virginia Beach, VA
National Provider Identifier
1174608277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- KEN J TOMPKINS MD PC
- Practice address
- 5249 Providence Road
Virginia Beach, VA 23464 - Phone
- (757) 467-3900
- Fax
- (757) 467-3158
- NPI assigned
- Oct 26, 2006
- Last updated
- Dec 31, 2008
- 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
- Kenneth J Tompkins, MD
- Title
- Owner
- Phone
- (757) 467-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
5249 Providence Road
Virginia Beach, VA 23464
Mailing address
5249 Providence Road
Virginia Beach, VA 23464
Phone (757) 467-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK5559 | Other | VA | RAILROAD MEDICARE |
| 005901898 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
5249 Providence Rd
Virginia Beach, VA 23464
Phone (757) 467-3900
Ownership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dermatology Physician
- Virginia Beach, VA
- NPI 1295810398
-
- Dermatology Physician
- Hamptoon, VA
- NPI 1376628479
-
- Dermatology Physician
- Hampton, VA
- NPI 1538311501
Practitioners & affiliated clinicians
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.
-
- Dermatology Physician
- Virginia Beach, VA
- NPI 1366550196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230681600000",
"number": "1174608277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 PROVIDENCE ROAD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23464",
"telephone_number": "757-467-3900",
"fax_number": "757-467-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 PROVIDENCE ROAD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23464",
"telephone_number": "757-467-3900",
"fax_number": "757-467-3158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEN J TOMPKINS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-12-31",
"status": "A",
"authorized_official_last_name": "TOMPKINS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-467-3900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK5559",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005901898",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.