Peninsula Pathology Associates of Virginia PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101054006 Issued in VA

Legal business name

PENINSULA PATHOLOGY ASSOCIATES OF VIRGINIA PLLC

Practice address

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

Phone

(757) 594-2000

NPI assigned

Nov 11, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M Smith, MDNPI 1407844806

Title

President

Phone

(757) 594-2867

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Smith, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1407844806
  Authorized official Same address or phone

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1972909497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240191010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PATHOLOGY ASSOCIATES OF VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-594-2867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Hematology",
            "state": "VA",
            "license": "0101054006",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101054006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Neurology LTD
• Peninsula Orthodontics, PC
• Peninsula Pain and Rehabilitation Center, Inc.
• Peninsula Pastoral Counseling Center Inc. (Peninsula Pastoral Counseling Center)
• Peninsula Pathology Associates Incorporated
• Peninsula Pediatric Dentistry, P.C.
• Peninsula Pediatric Psychiatry
• Peninsula Pediatrics LTD
• Peninsula Pharmacy Services
• Peninsula Pharmacy Services LLC

• Anatomic Pathology & Clinical Pathology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.