Port Warwick Medical Arts

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0220000459 Issued in VA

Legal business name

PORT WARWICK MEDICAL ARTS

Practice address

1031 Loftis Boulevard
Newport News, VA 23606

Phone

(757) 736-1221

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Edward J Elzarian, RPH

Title

Pharmacy Manager

Phone

(757) 736-1215

Specialties & licenses 1

Addresses

Other names 1

• Sentara Healthcare Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Port Warwick Medical Arts3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sentara Health Care

  • Physical Therapy Clinic/Center
  • Hampton, VA
  • NPI 1982011540
  NPD tax ID
• Sentara Healthcare

  • General Acute Care Hospital
  • Hampton, VA
  • NPI 1730615816
  NPD tax ID

Locations

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1467427286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 LOFTIS BOULEVARD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-736-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT WARWICK MEDICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "ELZARIAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "757-736-1215",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0220000459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Gail Polsinelli, M.D.
• Mark Pomeranz, D.O.
• Margaret Elaine Poole, NP
• Abrionne Pope
• Popinlife Wellness Solutions PLLC
• Port Warwick Pediatrics LTD
• Port Warwick Surgery Center, LLC
• Port Warwick Surgery, PLLC
• Ronald Holder Post, MD
• Haylee Potteiger, OTR/L

• Clinic/Center in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.