Individual provider Active NPI

Stylianos Lomvardias, M.D.

  • Anatomic Pathology Physician
  • Chesapeake, VA
National Provider Identifier
1952358640
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
36598 Issued in MA
Practice address
112 Gainsborough Square
Suite 200
Chesapeake, VA 23320
Phone
(757) 547-0798
Fax
(757) 547-0145
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 36598 MA Primary

Addresses

Primary practice location

112 Gainsborough Square
Suite 200
Chesapeake, VA 23320

Mailing address

5465 Fieldston Rd
Riverdale, NY 10471-2501
Phone (718) 548-0443

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

State licenses

LicenseStateTypeSpecialty
36598MAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Roosevelt Hospital - Pathology Dept Past Accepting new patients
Womens OB GYN Care at the Pavilion PC Past Accepting new patients
Medical Associates of Englewood, PC PastSince Jul 1, 2015 Accepting new patients

Organizations & group practices 3

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1952358640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 FIELDSTON RD",
            "city": "RIVERDALE",
            "state": "NY",
            "postal_code": "104712501",
            "telephone_number": "718-548-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GAINSBOROUGH SQUARE",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-547-0798",
            "fax_number": "757-547-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMVARDIAS",
        "first_name": "STYLIANOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MA",
            "license": "36598",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 3, 2011; 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.