Organization Active NPI

Robert Mann MD Werner Martens MC R Michael Camp MD & William T Naylor

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1215089255
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROBERT MANN MD WERNER MARTENS MC R MICHAEL CAMP MD & WILLIAM T NAYLOR
Practice address
902 Graydon Ave
Norfolk, VA 23507-1208
Phone
(757) 622-1661
Fax
(757) 627-0704
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Robert F Mann, M.D.
Title
Owner
Phone
(757) 622-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X VA Primary

Addresses

Primary practice location

902 Graydon Ave
Norfolk, VA 23507-1208

Mailing address

902 Graydon Ave
Norfolk, VA 23507-1208
Phone (757) 622-1661

Other identifiers 2

IdentifierTypeStateIssuer
100062OtherVAOPTIMA
100062OtherVASENTARA

National Provider Directory

National Provider Directory

Locations

902 Graydon Ave
Norfolk, VA 23507
Phone (757) 622-1661

397 Little Neck Rd
Bldg Sw
Virginia Beach, VA 23452

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1215089255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 GRAYDON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071208",
            "telephone_number": "757-622-1661",
            "fax_number": "757-627-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 GRAYDON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071208",
            "telephone_number": "757-622-1661",
            "fax_number": "757-627-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MANN MD WERNER MARTENS MC R MICHAEL CAMP MD & WILLIAM T NAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-622-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "100062",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "100062",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.