Organization Active NPI

DRS Leddy and Wilson PC

  • Multi-Specialty Clinic/Center
  • Newport News, VA
National Provider Identifier
1427255702
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DRS LEDDY AND WILSON PC
Practice address
704 Thimble Shoals Blvd
BLDG 300a
Newport News, VA 23606-4544
Phone
(757) 595-4300
Fax
(757) 591-9297
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Herbert Alexander Wilson, M.D.
Title
President
Phone
(757) 595-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X VA Primary

Addresses

Primary practice location

704 Thimble Shoals Blvd
BLDG 300a
Newport News, VA 23606-4544

Mailing address

704 Thimble Shoals Blvd
BLDG 300a
Newport News, VA 23606-4544
Phone (757) 595-4300

National Provider Directory

National Provider Directory

Locations

704 Thimble Shoals Blvd
Ste 300A
Newport News, VA 23606
Phone (757) 595-4300

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1427255702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "BLDG 300A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-595-4300",
            "fax_number": "757-591-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "BLDG 300A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-595-4300",
            "fax_number": "757-591-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS LEDDY AND WILSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-595-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.