Active NPI
Lung-Sang George Lam, PA-C
- Physician Assistant
- Portsmouth, VA
National Provider Identifier
1396773479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110840359
- Practice address
- 3636 High St
Portsmouth, VA 23707-3236 - Phone
- (757) 398-2222
- Fax
- (757) 398-2020
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110840359 | VA | Primary |
Addresses
Primary practice location
3636 High St
Portsmouth, VA 23707-3236
Mailing address
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110840359 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients |
Locations
85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
- Critical Access Hospital
- Lana'I City, HI
- NPI 1336501634
-
- Specialist
- Wailuku, HI
- NPI 1669834016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1396773479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073236",
"telephone_number": "757-398-2222",
"fax_number": "757-398-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073236",
"telephone_number": "757-398-2222",
"fax_number": "757-398-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "LUNG-SANG",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110840359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.