Organization Active NPI

Chesapeake Dermatopathology & Dermatology, P.C.

  • Clinical Medical Laboratory
  • Norfolk, VA
National Provider Identifier
1619937281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CHESAPEAKE DERMATOPATHOLOGY & DERMATOLOGY, P.C.
Practice address
580 Mowbray Arch
Norfolk, VA 23507-2130
Phone
(757) 439-2366
Fax
(757) 623-1580
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Evan Farmer, M.D.NPI 1831150093
Title
President
Phone
(757) 439-2366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X VA Primary

Addresses

Primary practice location

580 Mowbray Arch
Norfolk, VA 23507-2130

Mailing address

580 Mowbray Arch
Norfolk, VA 23507-2130
Phone (757) 439-2366

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Dermatopathology Dermatology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619937281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 MOWBRAY ARCH",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072130",
            "telephone_number": "757-439-2366",
            "fax_number": "757-623-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 MOWBRAY ARCH",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072130",
            "telephone_number": "757-439-2366",
            "fax_number": "757-623-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE DERMATOPATHOLOGY & DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-439-2366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.