NPIMap

Organization Active NPI

Fort Norfolk Plaza Medical Associates, LLC

  • Cardiovascular Disease Physician
  • Norfolk, VA
National Provider Identifier
1699001081
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC
Practice address
301 Riverview Avenue
Suite 500
Norfolk, VA 23510-1064
Phone
(757) 624-1785
Fax
(757) 624-1759
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Keith H Newby, M.D.NPI 1609809623
Title
President
Phone
(757) 624-1785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

301 Riverview Avenue
Suite 500
Norfolk, VA 23510-1064

Mailing address

301 Riverview Avenue
Suite 500
Norfolk, VA 23510-1064
Phone (757) 624-1785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101222000618 VA Part B Supplier - Clinic/Group Practice 1456476787 Receives reassigned benefits from 5 practitioners
6 other NPIs on this enrollment
Practice locations: Norfolk, VA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

301 Riverview Ave
Ste 505
Norfolk, VA 23510

700 Park Ave
Ste 101
Norfolk, VA 23504

301 Riverview Ave
Ste 502504
Norfolk, VA 23510

301 Riverview Ave
Ste 530
Norfolk, VA 23510
Phone (757) 333-0920

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1699001081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVENUE",
            "address_2": "SUITE 500",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101064",
            "telephone_number": "757-624-1785",
            "fax_number": "757-624-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVENUE",
            "address_2": "SUITE 500",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101064",
            "telephone_number": "757-624-1785",
            "fax_number": "757-624-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-624-1785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.