Stoneybrook Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101229881 Issued in VA

Legal business name

STONEYBROOK FAMILY PRACTICE PC

Practice address

15408 Warwick Blvd
Newport News, VA 23608-1576

Phone

(757) 890-0012

NPI assigned

May 30, 2007

Last updated

Dec 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leroy Graham Jr., MDNPI 1043325434

Title

Owner

Phone

(757) 890-0012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Leroy Graham Jr., MD

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1043325434
  Authorized official Same address or phone

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1427259233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15408 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081576",
            "telephone_number": "757-890-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15408 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081576",
            "telephone_number": "757-890-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEYBROOK FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-890-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101229881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Leah Stoller, DO
• Heather Doreen Stone, COTA/L
• Jamie Marie Stone, PA-C
• Ladonna R Stone, LCSW
• Tarita Romelle Stonewall, M.A., CCC-SLP
• Odessa Story
• Robert George Strange Jr., M.D.
• Lawrence Irwin Strauss, LCSW; ACSW;DCSW,BCD
• April Vance Strayer, REGISTERED NURSE
• Stream-Lighning You Therapeutic Solutions LLC

• Family Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.