Organization Active NPI

Padman a Menon MD

  • Dermatology Physician
  • Virginia Beach, VA
National Provider Identifier
1992010292
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101022994 Issued in VA
Legal business name
PADMAN A MENON MD
Practice address
1157 First Colonial Rd
Ste 300
Virginia Beach, VA 23454-2432
Phone
(757) 825-1846
Fax
(757) 825-1587
NPI assigned
Aug 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Padman A Menon, MD
Title
Owner
Phone
(757) 825-1846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 0101022994 VA Primary

Addresses

Primary practice location

1157 First Colonial Rd
Ste 300
Virginia Beach, VA 23454-2432

Mailing address

1157 First Colonial Rd
Ste 300
Virginia Beach, VA 23454-2432
Phone (757) 825-1846

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1992010292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 FIRST COLONIAL RD",
            "address_2": "STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542432",
            "telephone_number": "757-825-1846",
            "fax_number": "757-825-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 FIRST COLONIAL RD",
            "address_2": "STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542432",
            "telephone_number": "757-825-1846",
            "fax_number": "757-825-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMAN A MENON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "PADMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-825-1846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101022994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.