Medivps Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDIVPS GROUP LLC

Practice address

2535 Dexter St E
Chesapeake, VA 23324-3021

Phone

(757) 517-6001

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Venita Perry

Title

Owner

Phone

(757) 517-6001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1891455481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 DEXTER ST E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243021",
            "telephone_number": "757-517-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 DEXTER ST E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243021",
            "telephone_number": "757-517-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVPS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "VENITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-517-6001"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.