Active NPI
Pat Louis Aulicino, M.D.
- Orthopaedic Hand Surgery Physician
- Chesapeake, VA
National Provider Identifier
1891722328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 0101034042
- Practice address
- 200 Medical Pkwy
Suite 210
Chesapeake, VA 23320-4911 - Phone
- (757) 547-9721
- Fax
- (757) 547-2544
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 0101034042 | VA | Primary |
Addresses
Primary practice location
200 Medical Pkwy
Suite 210
Chesapeake, VA 23320-4911
Mailing address
200 Medical Pkwy
Suite 210
Chesapeake, VA 23320-4911
Phone (757) 547-9721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6439764 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891722328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL PKWY",
"address_2": "SUITE 210",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204911",
"telephone_number": "757-547-9721",
"fax_number": "757-547-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PKWY",
"address_2": "SUITE 210",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204911",
"telephone_number": "757-547-9721",
"fax_number": "757-547-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULICINO",
"first_name": "PAT",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "VA",
"license": "0101034042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6439764",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.