Organization Active NPI

Mid-Atlantic Womens Care PLC

  • Mammography Clinic/Center
  • Norfolk, VA
National Provider Identifier
1376769323
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
MID-ATLANTIC WOMENS CARE PLC
Practice address
844 Kempsville Rd Ste 210
Norfolk, VA 23502-3927
Phone
(757) 461-6131
NPI assigned
Apr 18, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-ATLANTIC WOMENS CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ivan Kenneth Muhlendorf, M.D.NPI 1326058975
Title
Director
Phone
(757) 461-6131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X NU Primary

Addresses

Primary practice location

844 Kempsville Rd Ste 210
Norfolk, VA 23502-3927

Mailing address

420 N Center Dr
Suite 203
Norfolk, VA 23502-4007
Phone (757) 455-8833

Other practice location 1

6353 Center Dr Ste 100
Norfolk, VA 23502-4100
Phone (757) 455-8833

Other practice location 2

3300 Princess Anne Rd Ste 743
Virginia Beach, VA 23456-2605
Phone (757) 301-2500

Other practice location 3

300 Medical Pkwy Ste 302
Chesapeake, VA 23320-4985
Phone (757) 312-8403

Other practice location 4

750 McGuire Pl Ste A
Newport News, VA 23601-1675
Phone (757) 223-5059

Other practice location 5

1181 First Colonial Rd Ste 201
Virginia Beach, VA 23454-2437
Phone (757) 228-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080611000246 VA Part B Supplier - Mammography Center 8820998156 Receives reassigned benefits from 111 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Virginia Beach, VA; Newport News, VA; Suffolk, VA; Norfolk, VA; Chesapeake, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Womancare of Williamsbu

Locations

1141 N Road St
Ste 1
Elizabeth City, NC 27909
Phone (252) 338-0101

109 Currituck Commerical Dr
Moyock, NC 27958
Phone (252) 338-0101

1101 Madison Plz
Ste 101
Chesapeake, VA 23320

300 Medical Pkwy
Ste 302
Chesapeake, VA 23320
Phone (757) 312-8403

300 Medical Pkwy
Ste 308
Chesapeake, VA 23320
Phone (757) 547-5446

118 Fairview Dr
Ste 100
Franklin, VA 23851
Phone (757) 562-4156

118 Fairview Dr
Ste A
Franklin, VA 23851

101 Eaton St
Ste 300
Hampton, VA 23669
Phone (757) 874-2229

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801
Phone (540) 434-3831

12706 McManus Blvd
Newport News, VA 23602
Phone (757) 874-2229

12720 McManus Blvd
Ste 101
Newport News, VA 23602
Phone (757) 872-9797

750 McGuire Pl
Ste A
Newport News, VA 23601
Phone (757) 223-5059

250 W Brambleton Ave
Ste 202
Norfolk, VA 23510
Phone (757) 965-9363

700 W Olney Rd
Norfolk, VA 23507
Phone (757) 446-5629

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

5833 Harbour View Blvd
Ste C
Suffolk, VA 23435
Phone (757) 539-3911

1181 First Colonial Rd
Ste 201
Virginia Beach, VA 23454
Phone (757) 228-1600

2075 Glenn Mitchell Dr
Ste 410
Virginia Beach, VA 23456
Phone (575) 481-7222

293 Independence Blvd
Ste 108
Virginia Beach, VA 23462

828 Healthy Way
Ste 208
Virginia Beach, VA 23462

828 Healthy Way
Ste 220
Virginia Beach, VA 23462
Phone (757) 305-1797

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1376769323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR",
            "address_2": "SUITE 203",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024007",
            "telephone_number": "757-455-8833",
            "fax_number": "757-962-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 KEMPSVILLE RD STE 210",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023927",
            "telephone_number": "757-461-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6353 Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024100",
            "country_code": "US",
            "telephone_number": "757-455-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Princess Anne Rd Ste 743",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234562605",
            "country_code": "US",
            "telephone_number": "757-301-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204985",
            "country_code": "US",
            "telephone_number": "757-312-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 McGuire Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011675",
            "country_code": "US",
            "telephone_number": "757-223-5059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 First Colonial Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542437",
            "country_code": "US",
            "telephone_number": "757-228-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC WOMENS CARE PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC WOMENS CARE PLC",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MUHLENDORF",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-461-6131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.