Active NPI
Anthony Salvatore Panettiere Jr., M.D.
- Neurology Physician
- Newport News, VA
National Provider Identifier
1720054943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD 050988 L
- Practice address
- 12200 Warwick Blvd
Newport News, VA 23601-2344 - Phone
- (757) 534-5100
- NPI assigned
- Feb 27, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD 050988 L | VA | Primary |
Addresses
Primary practice location
12200 Warwick Blvd
Newport News, VA 23601-2344
Mailing address
12200 Warwick Blvd
Newport News, VA 23601-2344
Phone (757) 534-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140325000330 | DC | Order and Referring Only - Sleep Medicine | 7911009444 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 050988 L | VA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1720054943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012344",
"telephone_number": "757-534-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012344",
"telephone_number": "757-534-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANETTIERE",
"first_name": "ANTHONY",
"middle_name": "SALVATORE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "MD 050988 L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.