NPIMap

Organization Active NPI

Charles Hecht-Leavitt MD, P.C.

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
National Provider Identifier
1194709139
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
035284-8011 Issued in VA
Legal business name
CHARLES HECHT-LEAVITT MD, P.C.
Practice address
4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423
Phone
(757) 671-1144
Fax
(757) 671-7299
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Charles Hecht-Leavitt, M.D.NPI 1417930033
Title
Medical Director/President
Phone
(757) 671-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 035284-8011 VA Primary

Addresses

Primary practice location

4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423

Mailing address

4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423
Phone (757) 671-1144

National Provider Directory

National Provider Directory

Locations

4668 Pembroke Blvd
Ste 109
Virginia Beach, VA 23455
Phone (757) 671-1144

Practitioners & affiliated clinicians

Practitioners 4

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1194709139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 PEMBROKE BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556423",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 PEMBROKE BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556423",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES HECHT-LEAVITT MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HECHT-LEAVITT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "757-671-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "035284-8011",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.

Verify at the official NPI Registry.