Active NPI
Padman a Menon MD
- Dermatology Physician
- Virginia Beach, VA
National Provider Identifier
1992010292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101022994
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryNPI 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.