NPIMap

Organization Active NPI

Princess Anne Surgery, P.C.

  • Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1619114121
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101056008 Issued in VA
Legal business name
PRINCESS ANNE SURGERY, P.C.
Practice address
816 Independence Blvd
Suite 3L
Virginia Beach, VA 23455-6010
Phone
(757) 233-2438
Fax
(757) 228-1524
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Ricardo Moscoso, M.D.
Title
Proprietor
Phone
(757) 233-2438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0101056008 VA Primary

Addresses

Primary practice location

816 Independence Blvd
Suite 3L
Virginia Beach, VA 23455-6010

Mailing address

816 Independence Blvd
Suite 3L
Virginia Beach, VA 23455-6010
Phone (757) 233-2438

National Provider Directory

National Provider Directory

Locations

816 Independence Blvd
Ste 3L
Virginia Beach, VA 23455
Phone (757) 233-2438

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1619114121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD",
            "address_2": "SUITE 3L",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-233-2438",
            "fax_number": "757-228-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD",
            "address_2": "SUITE 3L",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-233-2438",
            "fax_number": "757-228-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESS ANNE SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MOSCOSO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "757-233-2438",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101056008",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2009; 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.