Adult and Pediatric Neurosurgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101056357 Issued in VA

Legal business name

ADULT AND PEDIATRIC NEUROSURGERY

Practice address

248 W Bute St
Suite 100
Norfolk, VA 23510-1440

Phone

(757) 622-1003

Fax

(757) 622-1108

NPI assigned

Aug 28, 2007

Last updated

Oct 3, 2011By 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

Dr. Petra Gurtner, MDNPI 1598859761

Title

President

Phone

(757) 622-1003

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 4

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.

• Petra Gurtner, MD

  • Neurological Surgery Physician
  • Norfolk, VA
  • NPI 1598859761
  Authorized official Same address or phone
• Tina Christiane Rodrigue, MD

  • Neurological Surgery Physician
  • Hampton, VA
  • NPI 1457325466
  NPD (past)
• Roberta Mary Stewart, MSN RN FNP

  • Nurse Practitioner
  • Portsmouth, VA
  • NPI 1396847778
  NPD (past)
• Daryl E Warder, MD

  • Neurological Surgery Physician
  • Kalamazoo, MI
  • NPI 1942278106
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1861686404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W BUTE ST",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101440",
            "telephone_number": "757-622-1003",
            "fax_number": "757-622-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W BUTE ST",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101440",
            "telephone_number": "757-622-1003",
            "fax_number": "757-622-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND PEDIATRIC NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "GURTNER",
        "authorized_official_first_name": "PETRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-622-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101056357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "213281",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104916",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "257818",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1400005733",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004462765",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "11481",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790556Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Adkins-Harris, FNP-C
• Kyle Admire, DO
• Adolescent and Family Institute, Inc.
• Adolescent Growth Virginia, Inc (Adolescent Growth Inc)
• Joycelyn Adom, NP
• Advanced Clinicians Specialty Services LLC
• Advantage Home Care, LLC
• Advocate for Youth and Family Services Inc.
• Advocating for Success, LLC
• Rohit Adyanthaya, MD

• Specialist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.