NPIMap

Organization Active NPI

Delta Oncology Associates, P.C.

  • Mammography Radiologic Technologist
  • Portsmouth, VA
National Provider Identifier
1447674742
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
0101058359 Issued in VA
Legal business name
DELTA ONCOLOGY ASSOCIATES, P.C.
Doing business as
The Breast Care Center
Practice address
355 Crawford St
Suite 102
Portsmouth, VA 23704-2816
Phone
(757) 397-3400
Fax
(757) 399-0371
NPI assigned
Feb 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Ms. Amanda Kay Grizzard
Title
Office Manager
Phone
(757) 396-6348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M2300X 0101058359 VA Primary

Addresses

Primary practice location

355 Crawford St
Suite 102
Portsmouth, VA 23704-2816

Mailing address

355 Crawford St
Suite 300
Portsmouth, VA 23704-2816
Phone (757) 396-6348

Other names 1

  • The Breast Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1447674742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 300",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-396-6348",
            "fax_number": "757-396-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 102",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-397-3400",
            "fax_number": "757-399-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA ONCOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "GRIZZARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-396-6348",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Mammography",
            "state": "VA",
            "license": "0101058359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Breast Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2014; 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.