Organization Active NPI

Matthew Morgan Tignor MD

  • Infectious Disease Physician
  • Virginia Beach, VA
National Provider Identifier
1538341854
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101029409 Issued in VA
Legal business name
MATTHEW MORGAN TIGNOR MD
Practice address
1064 Laskin Rd
14
Virginia Beach, VA 23451-6337
Phone
(757) 491-3130
Fax
(757) 491-3512
NPI assigned
Nov 28, 2007
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Matthew M Tignor Sr., MD
Title
President
Phone
(757) 491-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101029409 VA Primary

Addresses

Primary practice location

1064 Laskin Rd
14
Virginia Beach, VA 23451-6337

Mailing address

1064 Laskin Rd
14
Virginia Beach, VA 23451-6337
Phone (757) 491-3130

Other identifiers 7

IdentifierTypeStateIssuer
110015831OtherRAILROAD MEDICARE
220771OtherMDIPA
029575OtherBC/BS
006099181MedicaidVA
17970OtherOPTIMA
890579EOtherNCMEDICAID NC
227640557OtherCHAMPUS

National Provider Directory

National Provider Directory

Locations

923 First Colonial Rd
Ste 1801
Virginia Bch, VA 23454
Phone (804) 481-5622

1064 Laskin Rd
#14
Virginia Beach, VA 23451
Phone (757) 491-3130

1064 Laskin Rd
Ste 14
Virginia Beach, VA 23451
Phone (757) 491-3130

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1538341854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 LASKIN RD",
            "address_2": "14",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516337",
            "telephone_number": "757-491-3130",
            "fax_number": "757-491-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 LASKIN RD",
            "address_2": "14",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516337",
            "telephone_number": "757-491-3130",
            "fax_number": "757-491-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MORGAN TIGNOR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "TIGNOR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-491-3130",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101029409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110015831",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "220771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "029575",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006099181",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "17970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NC",
            "identifier": "890579E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "227640557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.