Organization Active NPI

Trinity Internal Medicine PC

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1225367428
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRINITY INTERNAL MEDICINE PC
Practice address
4876 Princess Anne Rd
Suite 119
Virginia Beach, VA 23462-4447
Phone
(757) 769-7583
NPI assigned
Dec 17, 2009
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Ruby M Tucker, MD
Title
Owner
Phone
(757) 769-7583

Specialties & licenses 1

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

Addresses

Primary practice location

4876 Princess Anne Rd
Suite 119
Virginia Beach, VA 23462-4447

Mailing address

4876 Princess Anne Rd
Suite 119
Virginia Beach, VA 23462-4447
Phone (757) 769-7583

National Provider Directory

National Provider Directory

Locations

4876 Princess Anne Rd
Ste 119
Virginia Beach, VA 23462
Phone (757) 769-7583

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1225367428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4876 PRINCESS ANNE RD",
            "address_2": "SUITE 119",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624447",
            "telephone_number": "757-769-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 PRINCESS ANNE RD",
            "address_2": "SUITE 119",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624447",
            "telephone_number": "757-769-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-769-7583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jun 23, 2011; 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.