Salvatore Giallombardo III, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

581 A St BLDG 312
Msfsc
Norfolk, VA 23511-4004

Phone

(757) 443-3194

Fax

(757) 443-2364

NPI assigned

Feb 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Sam Giallombardo III Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1457539694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 CHIPPING LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556801",
            "telephone_number": "904-507-9403",
            "fax_number": "757-961-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 A ST BLDG 312",
            "address_2": "MSFSC",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235114004",
            "telephone_number": "757-443-3194",
            "fax_number": "757-443-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIALLOMBARDO",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "GIALLOMBARDO",
            "prefix": "MR.",
            "suffix": "III",
            "credential": "IDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Independent Duty Corpsman in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.