Pamela Beltran Cornelius, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101226094 Issued in VA

Practice address

895 Middle Ground Blvd
Suite 302
Newport News, VA 23606-4250

Phone

(757) 873-0161

Fax

(757) 873-0205

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366554883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 MIDDLE GROUND BLVD",
            "address_2": "SUITE 302",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064250",
            "telephone_number": "757-873-0161",
            "fax_number": "757-873-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 MIDDLE GROUND BLVD",
            "address_2": "SUITE 302",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064250",
            "telephone_number": "757-873-0161",
            "fax_number": "757-873-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "PAMELA",
        "middle_name": "BELTRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101226094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5099115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.