NPIMap

Organization Active NPI

East Beach Urgent Care LLC

Doing business as East Beach Urgent Care

  • Clinic/Center
  • Norfolk, VA
National Provider Identifier
1760919625
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EAST BEACH URGENT CARE LLC
Doing business as
East Beach Urgent Care
Practice address
9545 Shore Dr
Norfolk, VA 23518-1711
Phone
(757) 785-4861
NPI assigned
May 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Scott McCann, MDNPI 1457585432
Title
Owner
Phone
(919) 491-8795

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

9545 Shore Dr
Norfolk, VA 23518-1711

Mailing address

9545 Shore Dr
Norfolk, VA 23518-1711
Phone (757) 785-4861

Other names 1

  • East Beach Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170815001289 VA Part B Supplier - Clinic/Group Practice 7719259571 Receives reassigned benefits from 20 practitioners
Practice locations: Norfolk, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2134574East Beach Urgent Care9545 Shore Drive, Norfolk, VA 23518Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Locations

9545 Shore Dr
Norfolk, VA 23518
Phone (757) 785-4861

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760919625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 SHORE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181711",
            "telephone_number": "757-785-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 SHORE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181711",
            "telephone_number": "757-785-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BEACH URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-491-8795",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Beach Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.