NPIMap

Organization Active NPI

Diane LH Coltrin, MD PC

  • Specialist
  • Norfolk, VA
National Provider Identifier
1598834335
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101050603 Issued in VA
Legal business name
DIANE LH COLTRIN, MD PC
Practice address
6315 N Center Dr
Suite 100
Norfolk, VA 23502-4006
Phone
(757) 227-8675
Fax
(757) 461-1452
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Diane LH Coltrin, MD
Title
Owner
Phone
(757) 227-8675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101050603 VA Primary

Addresses

Primary practice location

6315 N Center Dr
Suite 100
Norfolk, VA 23502-4006

Mailing address

6315 N Center Dr
Suite 100
Norfolk, VA 23502-4006
Phone (757) 227-8675

Other identifiers 1

IdentifierTypeStateIssuer
6207588MedicaidVA

National Provider Directory

National Provider Directory

Locations

6315 N Center Dr
Ste 100
Norfolk, VA 23502
Phone (757) 227-8675

Practitioners & affiliated clinicians

Practitioners 4

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1598834335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 N CENTER DR",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024006",
            "telephone_number": "757-227-8675",
            "fax_number": "757-461-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 N CENTER DR",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024006",
            "telephone_number": "757-227-8675",
            "fax_number": "757-461-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE LH COLTRIN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "COLTRIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-227-8675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101050603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6207588",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.