Active NPI
Michael Monroe, IDC
- Independent Duty Corpsman
- Virginia Beach, VA
National Provider Identifier
1710276480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 2520 Midway Rd, Ste 200
Eodmu Two Medical Dept
Virginia Beach, VA 23459 - Phone
- (757) 462-8452
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | CA | Primary |
Addresses
Primary practice location
2520 Midway Rd, Ste 200
Eodmu Two Medical Dept
Virginia Beach, VA 23459
Mailing address
2520 Midway Rd, Ste 200
Eodmu Two Medical Dept
Virginia Beach, VA 23459
Phone (757) 462-8452
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1710276480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 MIDWAY RD, STE 200",
"address_2": "EODMU TWO MEDICAL DEPT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23459",
"telephone_number": "757-462-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 MIDWAY RD, STE 200",
"address_2": "EODMU TWO MEDICAL DEPT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23459",
"telephone_number": "757-462-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.