Active NPI
Evms Academic Physicians and Surgeons Health Services Foundation
- Radiation Oncology Physician
- Norfolk, VA
National Provider Identifier
1881848091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
- Practice address
- 600 Gresham Dr
Norfolk, VA 23507-1904 - Phone
- (757) 388-3483
- Fax
- (757) 627-0334
- NPI assigned
- Nov 14, 2008
- 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
- James F Lind Jr.
- Title
- Ceo
- Phone
- (757) 451-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
600 Gresham Dr
Norfolk, VA 23507-1904
Mailing address
PO Box 936
Evms Medical Group
Norfolk, VA 23501-0936
Phone (757) 388-3483
Other names 1
- EVMS Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304001377 | VA | Part B Supplier - Clinic/Group Practice | 5698675510 |
Receives reassigned benefits from 267 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Williamsburg, VA; Virginia Beach, VA; Norfolk, VA; Suffolk, VA; Portsmouth, VA; Newport News, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
O20040304001377
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366761600000",
"number": "1881848091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"address_2": "EVMS MEDICAL GROUP",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-388-3483",
"fax_number": "757-627-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-3483",
"fax_number": "757-627-0334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2013-04-24",
"status": "A",
"authorized_official_last_name": "LIND",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-451-6200",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EVMS Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norfolk, VA
- Evms Academic Physicians and Surgeons Health Services Foundation
- Evms Academic Physicians and Surgeons Health Services Foundation
- Evms Academic Physicians and Surgeons Health Services Foundation
- Evms Academic Physicians and Surgeons Health Services Foundation
- Evms Academic Physicians and Surgeons Health Services Foundation
- Evms Health Services
- Kasaundra N Ewing, N.P.
- Linette Jeanna Ewing, D.O.
- Theresa Rose Ewing, PHARM.D.
- Excellent Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.