Individual provider Active NPI

Edward S. Thur, NP-C

  • Family Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1881786416
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166284 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-1259
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166284 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

15343 Darden St
Branchville, VA 23828-2242
Phone (757) 654-0786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024166284VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Jan 1, 2022 Accepting new patients
Emergency Coverage Services, PC CurrentSince Apr 1, 2012 Accepting new patients
Icon Pediatric Dentistry and Orthodontics PLLC PastSince Apr 1, 2021 Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

1119 N Military Hwy
Ste 300
Norfolk, VA 23502
Phone (757) 224-3004

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

1013 University Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 335-4755

5818 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 673-5800

4101 Cheshire Station Plz
Ste 500
Woodbridge, VA 22193
Phone (571) 374-1234

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881786416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15343 DARDEN ST",
            "city": "BRANCHVILLE",
            "state": "VA",
            "postal_code": "238282242",
            "telephone_number": "757-654-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUR",
        "first_name": "EDWARD",
        "middle_name": "S.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.