Beach Family Medicine, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101025209 Issued in VA

Legal business name

BEACH FAMILY MEDICINE, INC.

Practice address

1856 Colonial Medical Court
Suite B
Virginia Beach, VA 23454-3075

Phone

(757) 499-9671

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Alan Haase, MD

Title

Chairman

Phone

(757) 499-9671

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1245449776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 UPPER CHELSEA REACH",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541124",
            "telephone_number": "757-499-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 COLONIAL MEDICAL COURT",
            "address_2": "SUITE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543075",
            "telephone_number": "757-499-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "757-499-9671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101025209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Behavioral ABA,LLC
• Beach Counseling Center LLC
• Beach Counseling, LLC
• Beach Eclinic LLC (Beach eClnic)
• Beach Eye Care, Inc.
• Beach Health Clinic,Inc.
• Beach Hearing
• Beach Kids Pediatrics PLLC
• Beach Life Counseling & Consulting Services, PLLC (Beach Life Counseling)
• Beach Life Nutrition LLC

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jun 17, 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.