Organization Active NPI

Port Warwick Surgery, PLLC

Doing business as Lianis Z. Bidot MD

  • Specialist
  • Newport News, VA
National Provider Identifier
1932225299
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101227888 Issued in VA
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

Updated by the provider on Jan 7, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7302398MedicaidVA

Other names 1

  • Lianis Z. Bidot MD Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.