| Fort Norfolk Plaza Medical Associates, Llc | |
|
301 Riverview Avenue Suite 500 Norfolk VA 23510-1064 | |
| (757) 624-1785 | |
| (757) 624-1759 |
| Full Name | Fort Norfolk Plaza Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Riverview Avenue, Norfolk, Virginia |
| Authorized Official Name and Position | Keith H Newby (PRESIDENT) |
| Authorized Official Contact | 7576241785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Norfolk Plaza Medical Associates, Llc 301 Riverview Avenue Suite 500 Norfolk VA 23510-1064 Ph: (757) 624-1785 | Fort Norfolk Plaza Medical Associates, Llc 301 Riverview Avenue Suite 500 Norfolk VA 23510-1064 Ph: (757) 624-1785 |
| NPI Number | 1699001081 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 07/15/2020 |
| Medicare PECOS PAC ID | 1456476787 |
|---|---|
| Medicare Enrollment ID | O20101222000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699001081 | NPI | - | NPPES |
| Provider Name | Karen Jones Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295709723 PECOS PAC ID: 4587626940 Enrollment ID: I20041028000941 |
| Provider Name | Vanessa A Blowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245321736 PECOS PAC ID: 7719916287 Enrollment ID: I20050805000352 |
| Provider Name | Keith H Newby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609809623 PECOS PAC ID: 9234199118 Enrollment ID: I20100917000138 |
| Provider Name | Nicole Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396062931 PECOS PAC ID: 8022251966 Enrollment ID: I20130826000407 |
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