Active NPI
Center for Weight Loss Success, P.C.
- Surgery Physician
- Newport News, VA
National Provider Identifier
1497053557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101050712
- Legal business name
- CENTER FOR WEIGHT LOSS SUCCESS, P.C.
- Practice address
- 645 J Clyde Morris Blvd
Newport News, VA 23601-1819 - Phone
- (757) 873-1880
- Fax
- (757) 873-1990
- NPI assigned
- Mar 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas William Clark, M.S., M.D., F.A.C.S
- Title
- Medical Director
- Phone
- (757) 873-1880
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101050712 | VA | Primary |
Addresses
Primary practice location
645 J Clyde Morris Blvd
Newport News, VA 23601-1819
Mailing address
645 J Clyde Morris Blvd
Newport News, VA 23601-1819
Phone (757) 873-1880
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Newport News, VA
- NPI 1255494183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300060800000",
"number": "1497053557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011819",
"telephone_number": "757-873-1880",
"fax_number": "757-873-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011819",
"telephone_number": "757-873-1880",
"fax_number": "757-873-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR WEIGHT LOSS SUCCESS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "757-873-1880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.S., M.D., F.A.C.S"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "VA",
"license": "0101050712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.