Organization Active NPI

Carlos F Acosta MD LTD

  • Family Medicine Physician
  • Hampton, VA
National Provider Identifier
1386893592
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101019396 Issued in VA
Legal business name
CARLOS F ACOSTA MD LTD
Practice address
2100 Hartford Rd
Hampton, VA 23666-2409
Phone
(757) 826-2102
Fax
(757) 825-9482
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Ms. Phyllis J Acosta
Title
Office Manager
Phone
(757) 826-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101019396 VA Primary

Addresses

Primary practice location

2100 Hartford Rd
Hampton, VA 23666-2409

Mailing address

2100 Hartford Rd
Hampton, VA 23666-2409
Phone (757) 826-2102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1386893592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662409",
            "telephone_number": "757-826-2102",
            "fax_number": "757-825-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662409",
            "telephone_number": "757-826-2102",
            "fax_number": "757-825-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS F ACOSTA MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-826-2102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101019396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.