Active NPI
Hampton Roads Arthritis Center
- Rheumatology Physician
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 0101024223
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002129 | Other | VA | ANTHEM BLUE CROSS |
| 006045847 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Rheumatology Physician
- Hampton, VA
- NPI 1427132695
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
- Hampton Mental Health Associates, Inc
- Hampton Newport News Community Services Board
- Hampton OBGYN Inc PC
- Hampton Physical Therapy
- Hampton Psych NPS, PLLC
- Hampton Roads Cardiology, PLLC
- Hampton Roads Care at Home LLC
- Hampton Roads Day Program
- Hampton Roads Ecumenical Lodgings and Provisions, Inc.
- Hampton Roads Family Dental
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.