Individual provider Active NPI

Walter Smith Chandler, MD

  • Occupational Medicine Physician
  • Newport News, VA
National Provider Identifier
1679844997
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
01011035812 Issued in VA
Practice address
628 Hofstadter Rd
Ste. 3
Newport News, VA 23606-3060
Phone
(757) 269-7455
Fax
(757) 269-7881
NPI assigned
Jan 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 01011035812 VA Primary

Addresses

Primary practice location

628 Hofstadter Rd
Ste. 3
Newport News, VA 23606-3060

Mailing address

628 Hofstadter Rd
Ste. 3
Newport News, VA 23606-3060
Phone (757) 269-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01011035812VAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1679844997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 HOFSTADTER RD",
            "address_2": "STE. 3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063060",
            "telephone_number": "757-269-7455",
            "fax_number": "757-269-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HOFSTADTER RD",
            "address_2": "STE. 3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063060",
            "telephone_number": "757-269-7455",
            "fax_number": "757-269-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "WALTER",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "01011035812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.