Active NPI
Ronald Devera
- Blood Banking & Transfusion Medicine Physician
- Norfolk, VA
National Provider Identifier
1689134678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- 0101283346
- Practice address
- 611 W Brambleton Ave
Norfolk, VA 23510-1004 - Phone
- (757) 446-7700
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 320649 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 0101283346 | VA | Primary |
Addresses
Primary practice location
611 W Brambleton Ave
Norfolk, VA 23510-1004
Mailing address
12393 S Readers Cir
Manakin Sabot, VA 23103-2632
Other practice location 1
2825 Emerywood Pkwy
Richmond, VA 23294-3719
Phone (804) 780-2250
Other practice location 2
352 Church Ave SW
Roanoke, VA 24016-5008
Phone (540) 985-3535
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101283346 | VA | MD | Blood Banking & Transfusion Medicine Physician |
| 320649 | NY | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1689134678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12393 S READERS CIR",
"city": "MANAKIN SABOT",
"state": "VA",
"postal_code": "231032632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W BRAMBLETON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101004",
"telephone_number": "757-446-7700"
}
],
"practiceLocations": [
{
"address_1": "2825 Emerywood Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232943719",
"country_code": "US",
"telephone_number": "804-780-2250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "352 Church Ave SW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240165008",
"country_code": "US",
"telephone_number": "540-985-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVERA",
"first_name": "RONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2024-08-16",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NY",
"license": "320649",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "VA",
"license": "0101283346",
"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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.