Active NPI
Scott A Nottingham, MD
- Pediatrics Physician
- Norfolk, VA
National Provider Identifier
1386685782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101232762
- Practice address
- 171 Kempsville Rd
Building B
Norfolk, VA 23502-4700 - Phone
- (757) 668-6500
- NPI assigned
- Jun 9, 2006
- Last updated
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101232762 | VA | Primary |
Addresses
Primary practice location
171 Kempsville Rd
Building B
Norfolk, VA 23502-4700
Mailing address
171 Kempsville Rd
Building B
Norfolk, VA 23502-4700
Phone (757) 668-6500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280773 | Other | MDIPA/MAMSI | |
| 541778786001 | Other | TRICARE | |
| 460594 | Other | ANTHEM | |
| 89065PV | Medicaid | NC | |
| 006736254 | Other | VA PREMIER | |
| 006736254 | Medicaid | VA | |
| 62288 | Other | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101232762 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Group Inc | Pediatrics | Past | Accepting new patients |
| Childrens Medical Group Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba General Booth Pediatrics
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1366597114
-
dba Tidewater Children's Associates
- Pediatrics Physician
- Norfolk, VA
- NPI 1538214713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1386685782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 KEMPSVILLE RD",
"address_2": "BUILDING B",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024700",
"telephone_number": "757-668-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 KEMPSVILLE RD",
"address_2": "BUILDING B",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024700",
"telephone_number": "757-668-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTTINGHAM",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101232762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA/MAMSI",
"identifier": "280773",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541778786001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "460594",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89065PV",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "006736254",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006736254",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "62288",
"state": null
}
],
"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 Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.