Active NPI
Guy Trengove-Jones, M.D., P.C.
- Plastic Surgery Physician
- Norfolk, VA
National Provider Identifier
1851491021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101035886
- Legal business name
- GUY TRENGOVE-JONES, M.D., P.C.
- Practice address
- 100 Kingsley LN
Suite 302
Norfolk, VA 23505-4604 - Phone
- (757) 423-2166
- Fax
- (757) 423-2285
- NPI assigned
- Sep 25, 2006
- Last updated
- Oct 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Diana Dlubala
- Title
- Billing Manager
- Phone
- (757) 423-2166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101035886 | VA | Primary |
Addresses
Primary practice location
100 Kingsley LN
Suite 302
Norfolk, VA 23505-4604
Mailing address
PO Box 9375
Norfolk, VA 23505-0375
Phone (757) 423-2166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240004633 | Other | MEDICARE RAILROAD | |
| 006900691 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
301 Riverview Ave
#100100
Norfolk, VA 23510
301 Riverview Ave
Ste 100
Norfolk, VA 23510
Phone (757) 333-0284
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Plastic Surgery Physician
- Norfolk, VA
- NPI 1952503161
-
- Physician Assistant
- Virginia Beach, VA
- NPI 1801276456
-
- Surgical Technologist
- Norfolk, VA
- NPI 1275524563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349136000000",
"number": "1851491021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9375",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235050375",
"telephone_number": "757-423-2166",
"fax_number": "757-423-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KINGSLEY LN",
"address_2": "SUITE 302",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054604",
"telephone_number": "757-423-2166",
"fax_number": "757-423-2285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUY TRENGOVE-JONES, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2012-10-02",
"status": "A",
"authorized_official_last_name": "DLUBALA",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "757-423-2166",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101035886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "240004633",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006900691",
"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 Oct 2, 2012; 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.