Peninsula Williamsburg Cardiology Assoc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101036628 Issued in VA

Legal business name

PENINSULA WILLIAMSBURG CARDIOLOGY ASSOC

Practice address

12720 McManus Blvd
Suite 201
Newport News, VA 23602-4414

Phone

(757) 875-5332

Fax

(787) 874-1545

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Clay Dodd

Title

Office Manager

Phone

(757) 875-5332

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allen Bryant Nichols, MD

  • Cardiovascular Disease Physician
  • Newport News, VA
  • NPI 1407998420
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1467580472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 201",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-875-5332",
            "fax_number": "787-874-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 201",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-875-5332",
            "fax_number": "787-874-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA WILLIAMSBURG CARDIOLOGY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-875-5332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101036628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Pharmacy Services LLC
• Peninsula Pulmonary Associates PC
• Peninsula Radiological Associates Limited
• Peninsula Surgery Center LLC
• Peninsula Therapy Center, PLC
• Courtney Brooke Penn, NP
• Patrice Pennyfeather, NP
• Penuel LLC
• Pastien Peou, MS, PA-C
• Dawn Pereira

• Cardiovascular Disease Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.