Organization Active NPI

Integrative Cardiovascular Institute LLC

  • Cardiovascular Disease Physician
  • Norfolk, VA
National Provider Identifier
1669743134
Registry record updated Jan 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101238123 Issued in VA
Legal business name
INTEGRATIVE CARDIOVASCULAR INSTITUTE LLC
Practice address
129 W Virginia Beach Blvd
Suite 110
Norfolk, VA 23510-2030
Phone
(757) 965-2970
Fax
(877) 437-1674
NPI assigned
Jan 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2012

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

Authorized official

Name
Sophie Parker, MD
Title
President
Phone
(757) 708-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 0101238123 VA Primary

Addresses

Primary practice location

129 W Virginia Beach Blvd
Suite 110
Norfolk, VA 23510-2030

Mailing address

5500 Covenant CT
Virginia Beach, VA 23464-2385
Phone (757) 708-4501

National Provider Directory

National Provider Directory

Locations

129 W Virginia Beach Blvd
Ste 110
Norfolk, VA 23510
Phone (757) 965-2970

129 W Virginia Beach Blvd
#1
Norfolk, VA 23510
Phone (757) 965-2970

NPI Registry JSON

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

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327190400000",
    "number": "1669743134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 COVENANT CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642385",
            "telephone_number": "757-708-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD",
            "address_2": "SUITE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-965-2970",
            "fax_number": "877-437-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CARDIOVASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-15",
        "last_updated": "2012-01-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-708-4501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101238123",
            "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 Jan 22, 2012; 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.