South Norfolk Medical Services,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101043479 Issued in VA

Legal business name

SOUTH NORFOLK MEDICAL SERVICES,LLC

Practice address

1201 Jackson Ave
Chesapeake, VA 23324-2307

Phone

(757) 545-0425

Fax

(757) 545-0426

NPI assigned

Dec 10, 2008

Last updated

Dec 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley A Stephenson

Title

Partner/Admin

Phone

(757) 485-9870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1639314370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 JACKSON AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242307",
            "telephone_number": "757-545-0425",
            "fax_number": "757-545-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 JACKSON AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242307",
            "telephone_number": "757-545-0425",
            "fax_number": "757-545-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NORFOLK MEDICAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER/ADMIN",
        "authorized_official_telephone_number": "757-485-9870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101043479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Sotosky, MD
• Mathias Carpenter Soucek, PSYD
• Harchdy Kensley Souffrance, OTR, MS
• Juliet Anita Soukup
• South Chesapeake Psychiatry
• South Sound Inpatient Physicians, PLLC
• Southeaster Virginia Training Center
• Southeastern Physical Therapy, Inc
• Southeastern Surgical Assistants, Inc
• Southeastern Virginia Training Center

• Primary Care Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.