Active NPI
Elizabeth McGloon, CPNP
- Pediatrics Physician
- Virginia Beach, VA
National Provider Identifier
1558388207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0024117999
- Practice address
- 2117 McComas Way
Ste. 103
Virginia Beach, VA 23456-3908 - Phone
- (757) 668-6715
- Fax
- (757) 668-6680
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0024117999 | VA | Primary |
Addresses
Primary practice location
2117 McComas Way
Ste. 103
Virginia Beach, VA 23456-3908
Mailing address
2117 McComas Way
Ste. 103
Virginia Beach, VA 23456-3908
Phone (757) 668-6715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10231493 | Medicaid | VA | |
| 28859N | Other | VA | OPTIMA,OFC,FAMIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Group Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1366597114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1558388207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 MCCOMAS WAY",
"address_2": "STE. 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234563908",
"telephone_number": "757-668-6715",
"fax_number": "757-668-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2117 MCCOMAS WAY",
"address_2": "STE. 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234563908",
"telephone_number": "757-668-6715",
"fax_number": "757-668-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLOON",
"first_name": "ELIZABETH",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0024117999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10231493",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA,OFC,FAMIS",
"identifier": "28859N",
"state": "VA"
}
],
"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 Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.