Edward Legare, RSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4656 Larkwood Dr
Virginia Beach, VA 23464-5817

Phone

(757) 353-9603

NPI assigned

Dec 4, 2013

Last updated

Sep 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Surgical Assistants, Inc

  • Surgical Physician Assistant
  • Virginia Beach, VA
  • NPI 1548721806

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1710318597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 LARKWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645817",
            "telephone_number": "757-353-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 LARKWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645817",
            "telephone_number": "757-353-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGARE",
        "first_name": "EDWARD",
        "credential": "RSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-04",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED SURGICAL ASSISTANT",
            "identifier": "0136000017",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Care LLC
• Legacy Healthcare Services, Inc (Legacy Healthcare at Virginia Beach)
• Legacy Healthcare, Inc.
• Legacy Wellness Mental Health Services LLC
• Legal Smiles Notary LLC
• Legendary Blessings
• Jamie Legendre, LRSW
• Joseph D Legg, BCBA
• Promissy Leggett-Arinze
• Clay Justin Legros Jr., MD

• Surgical Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; 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.