Active NPI
Michael a. Lepore, Jr., M.D.
- Obstetrics & Gynecology Physician
- Suffolk, VA
National Provider Identifier
1518018340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MICHAEL A. LEPORE, JR., M.D.
- Practice address
- 1510 Breezeport Way Ste 600
Harbour Breeze Professional Center
Suffolk, VA 23435-3738 - Phone
- (757) 686-8700
- Fax
- (757) 686-8006
- NPI assigned
- Jan 16, 2007
- 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. Michael A. Lepore, Jr., M.D.
- Title
- President
- Phone
- (757) 686-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1510 Breezeport Way Ste 600
Harbour Breeze Professional Center
Suffolk, VA 23435-3738
Mailing address
1510 Breezeport Way Ste 600
Harbour Breeze Professional Center
Suffolk, VA 23435-3738
Phone (757) 686-8700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901723 | Medicaid | NC | |
| 160058189 | Other | VA | RAILROAD MEDICARE |
| 006209181 | Medicaid | VA | |
| 49D0863102 | Other | VA | CLIA NUMBER |
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.
-
- Obstetrics & Gynecology Physician
- Suffolk, VA
- NPI 1265453500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413763200000",
"number": "1518018340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 BREEZEPORT WAY STE 600",
"address_2": "HARBOUR BREEZE PROFESSIONAL CENTER",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353738",
"telephone_number": "757-686-8700",
"fax_number": "757-686-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 BREEZEPORT WAY STE 600",
"address_2": "HARBOUR BREEZE PROFESSIONAL CENTER",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353738",
"telephone_number": "757-686-8700",
"fax_number": "757-686-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A. LEPORE, JR., M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2014-10-20",
"status": "A",
"authorized_official_last_name": "LEPORE, JR.",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-686-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901723",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160058189",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006209181",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "49D0863102",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
- Kristine Ann Meloche, PA-C
- Moussa Youssef Menasha, MD
- Mended Pieces Home Healthcare LLC
- Chiquita Monique Merrill, LPC
- Miangel Home Healthcare, LLC
- Mid-Atlantic Womens Care PLC (Specialists for Women)
- Taylor Felts Middleton, FNP-C
- Kaitlin Martha Mihalick, AUDIOLOGIST
- Milestones Community Home Healthcare
- Milestones Community Support Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.