Organization Active NPI

Earl C . Strayhorn M.D., P.C.

  • Vascular Surgery Physician
  • Norfolk, VA
National Provider Identifier
1831109271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101035788 Issued in VA
Legal business name
EARL C . STRAYHORN M.D., P.C.
Practice address
6160 Kempsville Cir
Suite 317 B
Norfolk, VA 23502-3933
Phone
(757) 461-4278
Fax
(757) 461-1494
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia Marlene Blocker-Palmer, RN, BS, MA
Title
Practice Administrator
Phone
(757) 461-4278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X 0101035788 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir
Suite 317 B
Norfolk, VA 23502-3933

Mailing address

6160 Kempsville Cir
Suite 317 B
Norfolk, VA 23502-3933
Phone (757) 461-4278

Other identifiers 1

IdentifierTypeStateIssuer
7304994MedicaidVA

National Provider Directory

National Provider Directory

Locations

6160 Kempsville Cir
Ste 317B
Norfolk, VA 23502
Phone (757) 461-4278

Practitioners & affiliated clinicians

Practitioners 1

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831109271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "address_2": "SUITE 317 B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-461-4278",
            "fax_number": "757-461-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "address_2": "SUITE 317 B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-461-4278",
            "fax_number": "757-461-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL C . STRAYHORN M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOCKER-PALMER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-461-4278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BS, MA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101035788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7304994",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.