Active NPI
William Preston Magee Jr., DDS, MD
- Plastic Surgery Physician
- Norfolk, VA
National Provider Identifier
1689670283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101025282
- Practice address
- 400 W Brambleton Ave
Ste 103
Norfolk, VA 23510-1115 - Phone
- (757) 627-6700
- Fax
- (757) 627-8973
- NPI assigned
- Jun 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101025282 | VA | Primary |
Addresses
Primary practice location
400 W Brambleton Ave
Ste 103
Norfolk, VA 23510-1115
Mailing address
400 W Brambleton Ave
Ste 103
Norfolk, VA 23510-1115
Phone (757) 627-6700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118086 | Other | VA | ANTHEM |
| 4004746 | Other | AETNA | |
| 600214778 | Other | VA | CIGNA |
| 15233 | Other | VA | OPTIMA |
| 006906200 | Medicaid | NC | |
| 6901425 | Medicaid | VA | |
| 310853 | Other | MAMSI |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101025282 | VA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Bay ENT PC | Past | Accepting new patients | |
| Magee-Rosenblum Plastic Surgery, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Belle Haven, VA
- NPI 1013106541
-
- Plastic and Reconstructive Surgery Physician
- Virginia Beach, VA
- NPI 1255449872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1689670283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W BRAMBLETON AVE",
"address_2": "STE 103",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101115",
"telephone_number": "757-627-6700",
"fax_number": "757-627-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W BRAMBLETON AVE",
"address_2": "STE 103",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101115",
"telephone_number": "757-627-6700",
"fax_number": "757-627-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEE",
"first_name": "WILLIAM",
"middle_name": "PRESTON",
"name_suffix": "Jr.",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101025282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "118086",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4004746",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "600214778",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "15233",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006906200",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6901425",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "310853",
"state": null
}
],
"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 Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.