Organization Active NPI

Michael a. Lepore, Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Suffolk, VA
National Provider Identifier
1518018340
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Oct 20, 2014

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5901723MedicaidNC
160058189OtherVARAILROAD MEDICARE
006209181MedicaidVA
49D0863102OtherVACLIA NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.