Individual provider Active NPI

Laura Thomas, M.D.

  • Adult Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1922074079
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0101032076 Issued in VA
Practice address
1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033
Phone
(757) 309-4081
Fax
(757) 496-4905
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 0101032076 VA Primary

Addresses

Primary practice location

1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033

Mailing address

1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033
Phone (757) 309-4081

Other names 1

  • Dr. Laura Heiby Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001652 VA Practitioner - Family Practice 3072582899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101032076VAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Family Physicians PC CurrentSince Feb 19, 2002 Accepting new patients

Locations

1821 Old Donation Pkwy
Ste 4
Virginia Beach, VA 23454
Phone (757) 481-3350

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1922074079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-309-4081",
            "fax_number": "757-496-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-309-4081",
            "fax_number": "757-496-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101032076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HEIBY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.