NPIMap

Organization Active NPI

Ultimate Clinic LLC

  • Primary Care Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1528601788
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ULTIMATE CLINIC LLC
Practice address
1437 Sams Dr Ste 122
Chesapeake, VA 23320-4587
Phone
(757) 537-6050
NPI assigned
Oct 21, 2019
Last updated
Jan 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Dr. Kevin Chou, MD
Title
Manager
Phone
(757) 537-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1437 Sams Dr Ste 122
Chesapeake, VA 23320-4587

Mailing address

1437 Sams Dr Ste 122
Chesapeake, VA 23320-4587
Phone (757) 537-6050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chesapeake@footsolutions.com Direct

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, 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": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1528601788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 SAMS DR STE 122",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204587",
            "telephone_number": "757-537-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 SAMS DR STE 122",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204587",
            "telephone_number": "757-537-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-537-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chesapeake@footsolutions.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1437 Sams Dr Ste 122",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233204587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 27, 2020; 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.