Affinity Healthcare Group LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101034240 Issued in VA

Legal business name

AFFINITY HEALTHCARE GROUP LLC

Practice address

3356 Western Branch Blvd
#F
Chesapeake, VA 23321-5138

Phone

(757) 673-3644

Fax

(757) 337-0165

NPI assigned

Feb 14, 2015

Last updated

Feb 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald A Martin Jr.

Title

Regional Director

Phone

(757) 673-3644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423872000000",
    "number": "1720479504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 WESTERN BRANCH BLVD",
            "address_2": "#F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215138",
            "telephone_number": "757-673-3644",
            "fax_number": "757-337-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 WESTERN BRANCH BLVD",
            "address_2": "#F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215138",
            "telephone_number": "757-673-3644",
            "fax_number": "757-337-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-14",
        "last_updated": "2015-02-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "757-673-3644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101034240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2015; 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.