Organization Active NPI

Ghent Internal Medicine PC

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1346551736
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101041956 Issued in VA
Legal business name
GHENT INTERNAL MEDICINE PC
Practice address
400 Gresham Dr
Ste. 205
Norfolk, VA 23507-1901
Phone
(757) 622-6601
Fax
(757) 622-8029
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Dr. Harold S Blumenthal, M.D.
Title
Owner
Phone
(757) 622-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101041956 VA Primary

Addresses

Primary practice location

400 Gresham Dr
Ste. 205
Norfolk, VA 23507-1901

Mailing address

400 Gresham Dr
Ste. 205
Norfolk, VA 23507-1903
Phone (757) 622-6601

Other identifiers 3

IdentifierTypeStateIssuer
1790770030MedicaidVA
224644020OtherVATRICARE
1790770030OtherVAANTHEM

National Provider Directory

National Provider Directory

Locations

1020 Independence Blvd
Ste 304
Virginia Beach, VA 23455
Phone (757) 363-0494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1346551736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR",
            "address_2": "STE. 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071903",
            "telephone_number": "757-622-6601",
            "fax_number": "757-622-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR",
            "address_2": "STE. 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071901",
            "telephone_number": "757-622-6601",
            "fax_number": "757-622-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHENT INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-622-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101041956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790770030",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "224644020",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1790770030",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.