Organization Active NPI

Chesapeake Observation Medicine Specialists, P.C.

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1477421956
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
CHESAPEAKE OBSERVATION MEDICINE SPECIALISTS, P.C.
Practice address
736 Battlefield Blvd N
Emergency Department
Chesapeake, VA 23320-4906
Phone
(757) 490-9388
Fax
(757) 490-9401
NPI assigned
Oct 27, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Ben Fickenscher, MDNPI 1134396187
Title
Managing Partner
Phone
(757) 490-9388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

736 Battlefield Blvd N
Emergency Department
Chesapeake, VA 23320-4906

Mailing address

109G Gainsborough SQ
PMB 723
Chesapeake, VA 23320-1757
Phone (757) 490-9388

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Observation Medicine Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

109G Gainsborough Sq
Chesapeake, VA 23320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1477421956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109G GAINSBOROUGH SQ",
            "address_2": "PMB 723",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201757",
            "telephone_number": "757-490-9388",
            "fax_number": "757-490-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204906",
            "telephone_number": "757-490-9388",
            "fax_number": "757-490-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE OBSERVATION MEDICINE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "FICKENSCHER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "757-490-9388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.