Individual provider Active NPI

Harry J Molligan, MD

  • Orthopaedic Surgery Physician
  • Norfolk, VA
National Provider Identifier
1639144751
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101041146 Issued in VA
Practice address
600 Gresham Dr
Ste 204
Norfolk, VA 23507-1904
Phone
(757) 388-5680
Fax
(757) 388-5681
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101041146 VA Primary
Orthopaedic Surgery Physician 207X00000X 2016-01367 NC

Addresses

Primary practice location

600 Gresham Dr
Ste 204
Norfolk, VA 23507-1904

Mailing address

600 Gresham Dr
Ste 204
Norfolk, VA 23507-1904
Phone (757) 388-5680

Other identifiers 1

IdentifierTypeStateIssuer
006408761MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000052 VA Practitioner - Orthopedic Surgery 7810031887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-01367NCMDOrthopaedic Surgery Physician
0101041146VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Orthopaedic Surgery CurrentSince Apr 1, 2002 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Orthopaedic Surgery Past Accepting new patients
Vann-Virginia Center for Orthopaedics PC Orthopaedic Surgery Past Accepting new patients

Locations

1134 N Road St
Ste 7
Elizabeth Cty, NC 27909
Phone (252) 338-3993

301 Riverview Ave
Ste 400
Norfolk, VA 23510
Phone (757) 252-1700

844 Kempsville Rd
Ste 101
Norfolk, VA 23502
Phone (757) 461-1780

600 Gresham Dr
Ste 204
Norfolk, VA 23507
Phone (757) 388-5680

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1080 First Colonial Rd
Ste 305
Virginia Beach, VA 23454
Phone (757) 388-5680

Interoperability endpoints

  • Direct secure messaging: hmolligan13476@direct.sentara.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1639144751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "address_2": "STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-5680",
            "fax_number": "757-388-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "address_2": "STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-5680",
            "fax_number": "757-388-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLIGAN",
        "first_name": "HARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101041146",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2016-01367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006408761",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.