Chesapeake Bay ENT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001371 Issued in VA

Legal business name

CHESAPEAKE BAY ENT

Practice address

1232 Perimeter Pkwy
Suite 104
Virginia Beach, VA 23454-5924

Phone

(757) 821-2090

Fax

(757) 821-2091

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Detra Renee Saffold

Title

Regional Practice Administrator

Phone

(757) 821-2090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Plain ENT Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEABA

Practitioners 4

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

• Scott Harris Saffold, M.D.

  • Otolaryngology Physician
  • Belle Haven, VA
  • NPI 1801863162
  NPD
• Elizabeth Virginia Bell, APRN

  • Family Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1306257902
  NPD (past)
• Ping Gao, PA-C

  • Physician Assistant
  • Franklin, VA
  • NPI 1932321585
  NPD (past)
• Christopher Porter

  • Physician Assistant
  • Suffolk, VA
  • NPI 1386240349

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1366834749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68279",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234718279",
            "telephone_number": "757-821-2090",
            "fax_number": "757-821-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 PERIMETER PKWY",
            "address_2": "SUITE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545924",
            "telephone_number": "757-821-2090",
            "fax_number": "757-821-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE BAY ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "SAFFOLD",
        "authorized_official_first_name": "DETRA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "REGIONAL PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-821-2090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689693939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Plain ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imani Cherry
• Kaylah Gabrielle Cherry
• Melissa Cherry
• Chesapeake Bay Cardiology, P. C.
• Chesapeake Bay Counseling, PLLC
• Chesapeake Bay Pain Medicine, P.C.
• Chesapeake Hospital Authority
• Chesapeake Regional Surgery Center at Virginia Beach, LLC
• James W Cheshire, LCSW
• Mary Chesney

• All providers in Virginia Beach, VA
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.