Active NPI
Internal Medicine of Portsmouth LTD
- Internal Medicine Physician
- Portsmouth, VA
National Provider Identifier
1669569885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE OF PORTSMOUTH LTD
- Practice address
- 3300 High St
Suite 6
Portsmouth, VA 23707-3321 - Phone
- (757) 399-7751
- Fax
- (757) 393-0743
- NPI assigned
- Oct 9, 2006
- Last updated
- Apr 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra B Lauver
- Title
- Practice Manager
- Phone
- (757) 399-7751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3300 High St
Suite 6
Portsmouth, VA 23707-3321
Mailing address
3300 High St
Suite 6
Portsmouth, VA 23707-3321
Phone (757) 399-7751
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200207 | Other | VA | OPTIMA/SENTARA |
| AS07402850001 | Other | VA | CIGNA |
| 46841 | Other | VA | ANTHEM |
| CM8153 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429228800000",
"number": "1669569885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 HIGH ST",
"address_2": "SUITE 6",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073321",
"telephone_number": "757-399-7751",
"fax_number": "757-393-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HIGH ST",
"address_2": "SUITE 6",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073321",
"telephone_number": "757-399-7751",
"fax_number": "757-393-0743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE OF PORTSMOUTH LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2015-04-17",
"status": "A",
"authorized_official_last_name": "LAUVER",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "757-399-7751",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA",
"identifier": "200207",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "AS07402850001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "46841",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM8153",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.