Organization Active NPI

Virginia Medical Specialists, PLC

  • Pulmonary Disease Physician
  • Virginia Beach, VA
National Provider Identifier
1285768465
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
VIRGINIA MEDICAL SPECIALISTS, PLC
Practice address
1008 First Colonial Rd Ste 103
Virginia Beach, VA 23454-3071
Phone
(757) 481-2515
NPI assigned
Mar 16, 2007
Organization subpart
Yes
Parent organization
VIRGINIA MEDICAL SPECIALISTS, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
William R Cooper, MD
Title
Managing Partner
Phone
(757) 481-2515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X VA Primary

Addresses

Primary practice location

1008 First Colonial Rd Ste 103
Virginia Beach, VA 23454-3071

Mailing address

1008 First Colonial Rd Ste 103
Virginia Beach, VA 23454-3071
Phone (757) 481-2515

Other names 1

  • Pulmonary Medicine of Virginia Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000272 VA Part B Supplier - Clinic/Group Practice 6305839051 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chesapeake, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Virginia Medical Specialist

Locations

516 Innovation Dr
Ste 201
Chesapeake, VA 23320
Phone (757) 524-5277

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1285768465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 FIRST COLONIAL RD STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543071",
            "telephone_number": "757-481-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 FIRST COLONIAL RD STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543071",
            "telephone_number": "757-481-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MEDICAL SPECIALISTS, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA MEDICAL SPECIALISTS, PLC",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "757-481-2515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary Medicine of Virginia Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.