Organization Active NPI

The Doctor's in, PC

  • Emergency Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1720205172
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101034422 Issued in VA
Legal business name
THE DOCTOR'S IN, PC
Practice address
3198 Pacific Ave Ste 104
Virginia Beach, VA 23451-2949
Phone
(757) 428-1911
Fax
(757) 470-5977
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Mr. David L Werwath, M.D.NPI 1164495792
Title
President
Phone
(757) 428-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 0101034422 VA Primary

Addresses

Primary practice location

3198 Pacific Ave Ste 104
Virginia Beach, VA 23451-2949

Mailing address

3198 Pacific Ave Ste 104
Virginia Beach, VA 23451-2949
Phone (757) 428-1911

Other identifiers 4

IdentifierTypeStateIssuer
465954OtherVAANTHEM
391560304OtherVATRICARE HEALTHNET
40935OtherVASENTARA OPTIMA
010007640MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000977 VA Part B Supplier - Clinic/Group Practice 7315843075 Receives reassigned benefits from 3 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

3198 Pacific Ave
Ste 104
Virginia Beach, VA 23451
Phone (757) 428-1911

1788 Republic Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 343-4221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3738/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1720205172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 PACIFIC AVE STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512949",
            "telephone_number": "757-428-1911",
            "fax_number": "757-470-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 PACIFIC AVE STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512949",
            "telephone_number": "757-428-1911",
            "fax_number": "757-470-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOCTOR'S IN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "WERWATH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-428-1911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101034422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "465954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HEALTHNET",
            "identifier": "391560304",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "40935",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010007640",
            "state": "VA"
        }
    ],
    "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 Jun 27, 2023; 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.