Olde Towne Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLDE TOWNE FAMILY PRACTICE

Practice address

640 North St
Portsmouth, VA 23704-2415

Phone

(757) 397-1246

Fax

(757) 397-0089

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Patricia Butler

Title

Billing Manager

Phone

(757) 638-0085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1184861973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 NORTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042415",
            "telephone_number": "757-397-1246",
            "fax_number": "757-397-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NORTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042415",
            "telephone_number": "757-397-1246",
            "fax_number": "757-397-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TOWNE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "757-638-0085"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Oenick, DO
• Jaeyoung Oh, MD
• Suzana Oh
• Karo Gary Ohanian, MD
• Bobbi Jo Oldaker, FNP
• Olde Towne Medical Practice PLLC
• Olive Home Group, LLC
• Kate Eleanor Oliver, M.D.
• Lola Jayne Oliver, PA-C
• Ollivier Community Circle

• Family Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, 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 Jan 15, 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.