NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as Norfolk Department of Public Health

  • Public Health or Welfare Agency
  • Norfolk, VA
National Provider Identifier
1386686731
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Doing business as
Norfolk Department of Public Health
Practice address
830 Southampton Ave
Suite 200
Norfolk, VA 23510-1001
Phone
(757) 683-2796
Fax
(757) 683-8878
NPI assigned
Jun 11, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Demetria Lindsay, M.D.
Title
Director
Phone
(757) 683-2796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

830 Southampton Ave
Suite 200
Norfolk, VA 23510-1001

Mailing address

830 Southampton Ave
Suite 200
Norfolk, VA 23510-1001
Phone (757) 683-2796

Other identifiers 1

IdentifierTypeStateIssuer
004975154MedicaidVA

Other names 1

  • Norfolk Department of Public Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040206000622 VA Part B Supplier - Clinic/Group Practice 0547174369 Receives reassigned benefits from 30 practitioners
45 other NPIs on this enrollment
Practice locations: Independence, VA; Prince George, VA; Jonesville, VA; Lawrenceville, VA; Lebanon, VA; Louisa, VA; Lynchburg, VA; Marion, VA…

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 45

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

View all 45

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1386686731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SOUTHAMPTON AVE",
            "address_2": "SUITE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101001",
            "telephone_number": "757-683-2796",
            "fax_number": "757-683-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SOUTHAMPTON AVE",
            "address_2": "SUITE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101001",
            "telephone_number": "757-683-2796",
            "fax_number": "757-683-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-683-2796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975154",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norfolk Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2011; 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.