Active NPI
Port Warwick Surgery, PLLC
Doing business as Lianis Z. Bidot MD
- Specialist
- Newport News, VA
National Provider Identifier
1932225299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101227888
- Legal business name
- PORT WARWICK SURGERY, PLLC
- Doing business as
- Lianis Z. Bidot MD
- Practice address
- 11803 Jefferson Ave
Suite 250
Newport News, VA 23606-2565 - Phone
- (757) 873-0050
- Fax
- (757) 873-1448
- NPI assigned
- Mar 21, 2007
- 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
- Dr. Lianis Zahira Bidot, MD
- Title
- Owner
- Phone
- (757) 873-0050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101227888 | VA | Primary |
Addresses
Primary practice location
11803 Jefferson Ave
Suite 250
Newport News, VA 23606-2565
Mailing address
11803 Jefferson Ave
Suite 250
Newport News, VA 23606-2565
Phone (757) 873-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7302398 | Medicaid | VA |
Other names 1
- Lianis Z. Bidot MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1932225299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 JEFFERSON AVE",
"address_2": "SUITE 250",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062565",
"telephone_number": "757-873-0050",
"fax_number": "757-873-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 JEFFERSON AVE",
"address_2": "SUITE 250",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062565",
"telephone_number": "757-873-0050",
"fax_number": "757-873-1448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT WARWICK SURGERY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "BIDOT",
"authorized_official_first_name": "LIANIS",
"authorized_official_middle_name": "ZAHIRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-873-0050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101227888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7302398",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lianis Z. Bidot MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.