Affinity Healthcare Group Newport News, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

0101049004 Issued in VA

Legal business name

AFFINITY HEALTHCARE GROUP NEWPORT NEWS, LLC

Practice address

6000 Jefferson Ave
#B
Newport News, VA 23605-3266

Phone

(757) 933-2660

Fax

(757) 537-2365

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By 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

Mr. Ronald Martin

Title

Owner

Phone

(757) 933-2660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1437699766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 JEFFERSON AVE",
            "address_2": "#B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23605",
            "telephone_number": "757-933-2660",
            "fax_number": "757-537-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 JEFFERSON AVE",
            "address_2": "#B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053266",
            "telephone_number": "757-933-2660",
            "fax_number": "757-537-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE GROUP NEWPORT NEWS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-933-2660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101049004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.