Organization Active NPI

Radiology Specialists PC

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
National Provider Identifier
1821108150
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY SPECIALISTS PC
Practice address
4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423
Phone
(757) 671-1144
Fax
(757) 671-7299
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Dr. Charles Hecht-Leavitt, M.D.
Title
President Medical Director
Phone
(757) 671-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X VA Primary

Addresses

Primary practice location

4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423

Mailing address

4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423
Phone (757) 671-1144

Other identifiers 2

IdentifierTypeStateIssuer
185902OtherVAANTHEM BC/BS OF VA
7962738OtherVAAETNA GROUP NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1821108150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 PEMBROKE BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556423",
            "telephone_number": "757-671-1144",
            "fax_number": "757-965-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 PEMBROKE BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556423",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "HECHT-LEAVITT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "757-671-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS OF VA",
            "identifier": "185902",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "7962738",
            "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 Aug 10, 2010; 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.