Mid-Atlantic Family Medicine PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101045839 Issued in VA

Legal business name

MID-ATLANTIC FAMILY MEDICINE PLC

Practice address

828 Healthy Way
Ste 350
Virginia Beach, VA 23462-7958

Phone

(757) 705-5265

Fax

(757) 962-2884

NPI assigned

Sep 7, 2007

Organization subpart

No

Name

Christopher W Asuncion, M.D.NPI 1508874249

Title

Owner

Phone

(757) 705-5265

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Asuncion, M.D.

  • General Practice Physician
  • Virginia Beach, VA
  • NPI 1508874249

  VA

  Medicare reassignment NPD Authorized official
• Carrie Goodman Kinas, PA-C

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1972098739

  VA

  Medicare reassignment
• Mary Katherine Pratt, PA-C

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1629561329

  VA

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1754/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2016.

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1629263199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 HEALTHY WAY",
            "address_2": "STE 350",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627958",
            "telephone_number": "757-552-0472",
            "fax_number": "757-552-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HEALTHY WAY",
            "address_2": "STE 350",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627958",
            "telephone_number": "757-705-5265",
            "fax_number": "757-962-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "ASUNCION",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-705-5265",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101045839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Michels
• Angelica Miciano, M.A, CF-SLP
• Mid Atlantic Healthcare Services PC
• Mid Atlantic Implant and Oral Surgery Center P.C.
• Mid-Atlantic Bracing, Inc.
• Mid-Atlantic Family Practice
• Mid-Atlantic Women'S Care, PLC
• Mid-Atlantic Womens Care PLC
• Mid-Atlantic Womens Care PLC
• Mid-Atlantic Womens Care PLC

• All providers in Virginia Beach, VA
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.