Eastern Virginia Rheumatology PLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

EASTERN VIRGINIA RHEUMATOLOGY PLC

Practice address

11747 Jefferson Ave
Suite 4E
Newport News, VA 23606-1998

Phone

(757) 595-2040

Fax

(757) 591-8260

NPI assigned

Mar 24, 2006

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David B Maxwell, MDNPI 1245290907

Title

President

Phone

(757) 595-2040

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David B Maxwell, MD

  • Rheumatology Physician
  • Hampton, VA
  • NPI 1245290907
  NPD (past) Authorized official

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1699735514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300168",
            "telephone_number": "804-545-6862",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11747 JEFFERSON AVE",
            "address_2": "SUITE 4E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061998",
            "telephone_number": "757-595-2040",
            "fax_number": "757-591-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN VIRGINIA RHEUMATOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-595-2040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006031455",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• East End Pharmacy Inc
• Eastern Virginia Adult Care, LLC (Eastern Virginia Advanced Care, LLC)
• Michaela Eastham
• Ashley Amari Eaton, MSW
• Marisa Louise Ebron
• Michelle Patrice Ebron
• Tara Louise Echols, RBT

• Rheumatology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Rheumatology Physician in Virginia

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