NPIMap

Organization Active NPI

Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
National Provider Identifier
1891733358
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MID-ATLANTIC WOMENS CARE PLC
Practice address
1181 First Colonial Rd
Suite 200
Virginia Beach, VA 23454-2437
Phone
(757) 425-1600
Fax
(757) 425-6495
NPI assigned
Jun 4, 2006
Organization subpart
Yes
Parent organization
MID-ATLANTIC WOMENS CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Mary A Burns, MD
Title
Authorized Official
Phone
(757) 425-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1181 First Colonial Rd
Suite 200
Virginia Beach, VA 23454-2437

Mailing address

1181 First Colonial Rd
Suite 200
Virginia Beach, VA 23454-2437
Phone (757) 425-1600

Other practice location 1

5320 Providence Rd Ste 100
Virginia Beach, VA 23464-4122
Phone (757) 425-1600

Other practice location 2

1925 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0170
Phone (757) 425-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000607 VA Part B Supplier - Clinic/Group Practice 8820998156 Receives reassigned benefits from 223 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, VA; Richmond, VA; Roanoke, VA; Suffolk, VA; Virginia Beach, VA; Williamsburg, VA; Chesapeake, VA; Franklin, VA…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Part of
Tidewater Phys for Wome

Locations

667 Kingsborough Sq
Ste 200
Chesapeake, VA 23320
Phone (757) 436-0167

1925 Glenn Mitchell Dr
#2000
Virginia Beach, VA 23456

5320 Providence Rd
Ste 200
Virginia Beach, VA 23464
Phone (434) 242-5000

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1891733358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 FIRST COLONIAL RD",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542437",
            "telephone_number": "757-425-1600",
            "fax_number": "757-425-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 FIRST COLONIAL RD",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542437",
            "telephone_number": "757-425-1600",
            "fax_number": "757-425-6495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5320 Providence Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234644122",
            "country_code": "US",
            "telephone_number": "757-425-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Glenn Mitchell Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234560170",
            "country_code": "US",
            "telephone_number": "757-425-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC WOMENS CARE PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC WOMENS CARE PLC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "757-425-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.