Organization Active NPI

Hampton Roads Arthritis Center

  • Rheumatology Physician
  • Hampton, VA
National Provider Identifier
1285889287
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101024223 Issued in VA
Legal business name
HAMPTON ROADS ARTHRITIS CENTER
Practice address
2115 Executive Dr
Suite 6C
Hampton, VA 23666-2499
Phone
(757) 874-7246
Fax
(757) 826-9415
NPI assigned
Nov 18, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Walter Rudolph Wallingford, M.D.NPI 1427132695
Title
Ceo
Phone
(767) 874-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 0101024223 VA Primary

Addresses

Primary practice location

2115 Executive Dr
Suite 6C
Hampton, VA 23666-2499

Mailing address

2115 Executive Dr
Suite 6C
Hampton, VA 23666-2499
Phone (757) 874-7246

Other identifiers 2

IdentifierTypeStateIssuer
002129OtherVAANTHEM BLUE CROSS
006045847MedicaidVA

National Provider Directory

National Provider Directory

Locations

2115 Executive Dr
Ste 6C
Hampton, VA 23666
Phone (757) 679-8815

224 Monticello Ave
Williamsburg, VA 23185
Phone (757) 220-0557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1285889287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "SUITE 6C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-874-7246",
            "fax_number": "757-826-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "SUITE 6C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-874-7246",
            "fax_number": "757-826-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS ARTHRITIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "WALLINGFORD",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "767-874-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101024223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "002129",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006045847",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.