NPIMap

Organization Active NPI

Hampton Roads Otolaryngology Associates PLLC

Doing business as Hampton Roads EN-Allergy

  • Otolaryngic Allergy Physician
  • Hampton, VA
National Provider Identifier
1700939980
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
Legal business name
HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC
Doing business as
Hampton Roads EN-Allergy
Practice address
901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249
Phone
(757) 825-2500
Fax
(757) 825-2521
NPI assigned
Jan 19, 2007
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Mrs. Sharon A Marcum
Title
Office Manager
Phone
(757) 825-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X NU Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249

Mailing address

901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249
Phone (757) 825-2500

Other names 1

  • Hampton Roads EN-Allergy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000291 VA Part B Supplier - Clinic/Group Practice 7012820848 Receives reassigned benefits from 23 practitioners
Practice locations: Gloucester, VA; Williamsburg, VA; Newport News, VA; Hampton, VA

National Provider Directory

National Provider Directory

Locations

5659 Parkway Dr
Ste 240
Gloucester, VA 23061
Phone (757) 825-2500

2206 Executive Dr
Hampton, VA 23666
Phone (757) 825-2500

901 Enterprise Pkwy
Ste 300
Hampton, VA 23666
Phone (757) 825-2500

400 Sentara Cir
Ste 300
Williamsburg, VA 23188
Phone (757) 253-8722

5408 Discovery Park Blvd
Ste 201
Williamsburg, VA 23188
Phone (757) 825-2500

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1700939980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-825-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads EN-Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.