Individual provider Active NPI

William Preston Magee Jr., DDS, MD

  • Plastic Surgery Physician
  • Norfolk, VA
National Provider Identifier
1689670283
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101025282 Issued in VA
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

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
118086OtherVAANTHEM
4004746OtherAETNA
600214778OtherVACIGNA
15233OtherVAOPTIMA
006906200MedicaidNC
6901425MedicaidVA
310853OtherMAMSI

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

LicenseStateTypeSpecialty
0101025282VAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay ENT PC Past Accepting new patients
Magee-Rosenblum Plastic Surgery, Inc PastSince Jul 1, 2000 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.

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.

Verify at the official NPI Registry.