Port Warwick Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PORT WARWICK SURGERY CENTER, LLC

Practice address

1031 Loftis Blvd
Newport News, VA 23606-2981

Phone

(757) 735-9696

NPI assigned

Feb 7, 2019

Last updated

Feb 7, 2019By 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

Kirkpatrick Kapua Conley

Title

President

Phone

(757) 736-2655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Port Warwick Surgery Center LLCCCN 49C0001101

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Sentara Hospitals

  dba Sentara Norfolk General Rehabilitation Unit

  • Rehabilitation Hospital Unit
  • Norfolk, VA
  • NPI 1346314192

  Member Of

  NPD member

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1700341468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 LOFTIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062981",
            "telephone_number": "757-735-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 LOFTIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062981",
            "telephone_number": "757-735-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT WARWICK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "KIRKPATRICK",
        "authorized_official_middle_name": "KAPUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-736-2655"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Elaine Poole, NP
• Abrionne Pope
• Popinlife Wellness Solutions PLLC
• Port Warwick Medical Arts
• Port Warwick Pediatrics LTD
• Port Warwick Surgery, PLLC (Lianis Z. Bidot MD)
• Ronald Holder Post, MD
• Haylee Potteiger, OTR/L
• Meghan L Potter, FNP-BC
• Micheal Potter, M.D.

• Ambulatory Surgical Clinic/Center in Newport News, VA
• Providers in Newport News, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.