Active NPI 1518128453 Individual Practitioner Male Practitioner

Dr. Jack W Lambert , MD

Urology • Onancock, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Lambert, MD is a certified Urology practicing in Onancock, VA. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Lambert delivers high-quality medical care to the local community at 20486 MARKET STREET.

Dr. Lambert is affiliated with Riverside Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20486 Market Street

Onancock, VA 23417

Telephone 7573022700

Fax 7577879262

Associated Practice Facility / Clinic

🏢 Riverside Physician Services Inc Facility NPI 1801334297

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Onancock, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Onancock, VA (381 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lambert (18 Years) 18 Yrs

Onancock Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	320	$151.31	$63.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	165	$220.24	$94.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$210.08	$79.25
52000 Diagnostic exam of bladder and urethra using an endoscope	87	75	$396.00	$76.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$310.96	$129.65
99441 Telephone medical discussion with physician, 5-10 minutes	63	63	$82.00	$55.25
74420 Imaging of urinary tract	28	21	$173.00	$23.06
76872 Ultrasound scan of pelvic region through rectum	21	21	$92.00	$31.77
55700 Biopsy of prostate gland	21	21	$450.00	$116.86
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	11	$669.00	$162.47
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$191.00	$80.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$257.00	$127.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	305	$136.00	$65.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	200	$192.39	$95.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$197.00	$81.77
52000 Diagnostic exam of bladder and urethra using an endoscope	93	70	$396.00	$76.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$299.00	$131.76
76872 Ultrasound scan of pelvic region through rectum	29	29	$92.00	$31.99
55700 Biopsy of prostate gland	29	29	$450.00	$126.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	20	$124.00	$75.56
74420 Imaging of urinary tract	20	16	$173.00	$24.21
99441 Telephone medical discussion with physician, 5-10 minutes	16	15	$82.00	$38.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$74.00	$45.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$178.00	$117.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	221	$190.00	$98.73
99213 Established patient office or other outpatient visit, typically 15 minutes	284	245	$132.35	$67.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$299.00	$136.06
52000 Diagnostic exam of bladder and urethra using an endoscope	84	65	$396.00	$80.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$197.00	$83.96
76872 Ultrasound scan of pelvic region through rectum	37	36	$92.00	$32.96
55700 Biopsy of prostate gland	33	33	$450.00	$130.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	19	$239.00	$128.57
74420 Imaging of urinary tract	21	16	$173.00	$22.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$70.00	$38.46
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$837.00	$384.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$82.00	$36.47
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$498.00	$150.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	234	205	$127.32	$67.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	170	$183.49	$100.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	172	172	$292.35	$135.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$192.02	$84.19
52000 Diagnostic exam of bladder and urethra using an endoscope	90	78	$396.00	$78.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	33	$236.50	$132.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	14	$124.00	$71.84
76872 Ultrasound scan of pelvic region through rectum	21	21	$92.00	$31.64
74420 Imaging of urinary tract	19	15	$173.00	$24.06
55700 Biopsy of prostate gland	18	18	$450.00	$116.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$70.00	$35.97
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$815.13	$395.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$498.00	$152.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$255.15	$131.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$177.97	$76.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	106	$173.00	$80.58
99213 Established patient office or other outpatient visit, typically 15 minutes	122	99	$117.00	$52.38
52000 Diagnostic exam of bladder and urethra using an endoscope	67	61	$396.00	$81.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	19	$229.00	$140.20
74420 Imaging of urinary tract	21	18	$173.00	$25.96
76872 Ultrasound scan of pelvic region through rectum	14	14	$92.00	$34.35
55700 Biopsy of prostate gland	13	13	$450.00	$130.42
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$698.88	$431.82
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$498.00	$156.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	10,240	56	$6.00	$3.61
J0897 Injection, denosumab, 1 mg	10,080	63	$29.00	$18.57
81003 Automated urinalysis test	1,218	832	$11.00	$2.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	800	134	$870.00	$220.80
84153 Psa (prostate specific antigen) measurement, total	774	533	$70.00	$19.70
36415 Insertion of needle into vein for collection of blood sample	752	588	$32.00	$2.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	629	479	$200.00	$107.13
J9030 Bcg live intravesical instillation, 1 mg	550	11	$6.00	$2.78
99213 Established patient office or other outpatient visit, typically 15 minutes	510	469	$135.00	$73.55
84403 Testosterone (hormone) level, total	280	179	$75.00	$27.61
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	264	182	$100.00	$30.29
J0696 Injection, ceftriaxone sodium, per 250 mg	232	55	$7.00	$0.58
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	220	26	$43.00	$41.69
87086 Bacterial colony count, urine	139	103	$35.00	$8.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	108	69	$45.00	$16.66
51798 Ultrasound measurement of bladder capacity after voiding	108	98	$90.00	$12.37
82306 Vitamin d-3 level	102	85	$84.00	$31.60
52000 Diagnostic exam of bladder and urethra using an endoscope	101	79	$417.00	$190.72
87088 Bacterial urine culture	99	64	$45.00	$8.64
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	84	54	$30.00	$9.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$309.00	$164.85
55700 Biopsy of prostate gland	62	62	$455.00	$245.36
76872 Ultrasound scan of pelvic region through rectum	62	62	$285.16	$122.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$200.00	$108.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	51	$136.00	$70.36
74420 Imaging of urinary tract	52	46	$36.00	$26.09
51720 Instillation of anti-cancer drug into bladder	47	44	$226.00	$83.59
51700 Simple bladder irrigation and/or instillation	44	43	$175.00	$74.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	37	$75.00	$39.57
J9031 Bcg (intravesical) per instillation	34	32	$300.00	$139.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$270.00	$146.04
74018 X-ray of abdomen, 1 view	31	28	$84.00	$26.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$258.00	$137.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	24	$990.65	$138.29
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$188.77	$94.07
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	20	$625.00	$259.20
51702 Simple insertion of temporary bladder tube	14	12	$150.00	$62.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$885.42	$446.68
74420 Imaging of urinary tract	12	12	$36.00	$26.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	13,140	78	$26.48	$16.57
J9155 Injection, degarelix, 1 mg	12,320	68	$6.00	$3.61
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml	2,280	11	$2.00	$0.07
81003 Automated urinalysis test	1,496	943	$11.00	$2.65
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	958	161	$870.00	$207.47
84153 Psa (prostate specific antigen) measurement, total	815	526	$70.00	$21.83
36415 Insertion of needle into vein for collection of blood sample	804	611	$32.00	$2.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	546	$200.00	$104.73
99213 Established patient office or other outpatient visit, typically 15 minutes	456	417	$135.00	$71.01
J0696 Injection, ceftriaxone sodium, per 250 mg	384	88	$7.00	$0.61
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	328	220	$100.00	$30.00
84403 Testosterone (hormone) level, total	268	158	$75.00	$30.38
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	210	41	$43.00	$41.75
87086 Bacterial colony count, urine	198	148	$35.00	$9.67
52000 Diagnostic exam of bladder and urethra using an endoscope	147	109	$417.00	$162.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	82	$45.00	$19.09
82306 Vitamin d-3 level	114	94	$84.00	$34.56
87088 Bacterial urine culture	113	79	$45.00	$9.72
51798 Ultrasound measurement of bladder capacity after voiding	103	96	$90.00	$15.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$309.00	$160.01
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	96	68	$30.00	$10.37
55700 Biopsy of prostate gland	92	92	$455.00	$244.78
76872 Ultrasound scan of pelvic region through rectum	92	92	$295.00	$93.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	85	$270.00	$143.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	77	$136.00	$71.78
51700 Simple bladder irrigation and/or instillation	69	66	$175.00	$72.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$200.49	$104.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	62	$76.68	$38.38
A4648 Tissue marker, implantable, any type, each	57	19	$142.11	$35.79
74420 Imaging of urinary tract	56	46	$36.00	$17.61
51720 Instillation of anti-cancer drug into bladder	49	42	$226.00	$80.40
J9031 Bcg (intravesical) per instillation	47	41	$296.00	$128.50
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	38	35	$625.00	$234.37
74018 X-ray of abdomen, 1 view	38	32	$77.45	$25.54
J1580 Injection, garamycin, gentamicin, up to 80 mg	34	19	$10.00	$1.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$258.00	$135.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	26	$1046.23	$134.08
51702 Simple insertion of temporary bladder tube	22	18	$150.00	$64.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$387.00	$56.62
Q2043 Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion	20	15	$58450.00	$40837.85
96413 Infusion of chemotherapy into a vein up to 1 hour	20	15	$380.00	$140.33
55876 Placement of device in prostate for radiation therapy	19	19	$275.00	$137.98
74420 Imaging of urinary tract	16	16	$36.00	$16.51
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$189.00	$100.67
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	15	14	$171.93	$36.35
51600 Injection procedure for X-ray imaging of the bladder or during voiding	14	13	$600.00	$172.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$882.69	$444.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	13,260	63	$25.53	$15.23
J9155 Injection, degarelix, 1 mg	8,160	46	$5.79	$3.59
81003 Automated urinalysis test	1,529	950	$11.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	717	624	$135.00	$71.42
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	655	108	$858.93	$194.60
84153 Psa (prostate specific antigen) measurement, total	646	421	$70.00	$24.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	613	458	$200.00	$104.39
36415 Insertion of needle into vein for collection of blood sample	560	433	$32.00	$2.89
J0696 Injection, ceftriaxone sodium, per 250 mg	280	68	$7.00	$0.62
87086 Bacterial colony count, urine	215	143	$35.00	$10.67
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	213	149	$100.00	$30.86
51720 Instillation of anti-cancer drug into bladder	178	98	$226.00	$87.12
J9031 Bcg (intravesical) per instillation	178	98	$296.00	$126.14
84403 Testosterone (hormone) level, total	174	105	$75.00	$34.50
51798 Ultrasound measurement of bladder capacity after voiding	129	123	$90.00	$18.35
52000 Diagnostic exam of bladder and urethra using an endoscope	121	96	$417.00	$159.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	68	$45.00	$23.16
87088 Bacterial urine culture	118	67	$45.00	$10.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$200.33	$103.47
82306 Vitamin d-3 level	95	72	$84.00	$38.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	85	$136.00	$68.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$309.00	$161.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	62	$270.00	$137.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	60	$75.00	$38.76
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	63	36	$30.00	$9.12
55700 Biopsy of prostate gland	63	63	$455.00	$238.85
76872 Ultrasound scan of pelvic region through rectum	63	63	$300.00	$90.19
51700 Simple bladder irrigation and/or instillation	62	59	$175.00	$69.76
74420 Imaging of urinary tract	53	48	$36.00	$17.55
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	51	32	$30.00	$11.39
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	37	34	$625.00	$236.42
74000 X-ray of abdomen, single view	28	26	$84.00	$23.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	25	$1027.31	$114.47
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$188.81	$96.20
51702 Simple insertion of temporary bladder tube	22	16	$150.00	$62.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$258.00	$135.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$81.00	$43.03
74420 Imaging of urinary tract	15	14	$36.00	$17.54
81001 Manual urinalysis test with examination using microscope, automated	14	14	$17.00	$4.26
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$910.71	$438.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$385.00	$203.37
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$387.00	$51.52
51600 Injection procedure for X-ray imaging of the bladder or during voiding	11	11	$600.00	$167.34
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	11	11	$168.27	$31.95

Medical Specialties & State Licenses

CMS Verified: 2020-01-08

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VA 0101254026

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License VA 0116020775

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Riverside Physician Services Inc

20486 Market St, Onancock, VA 234174309

Phone: 7573022700

Secondary Practice Locations

225 Clearfield Ave

Virginia Beach, VA 234621815

Phone: 7574575177

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Thomas Hare , RPA-C

Physician Assistant

NPI 1164440087

RPAC

Dr. David Jones , MD

Internal Medicine - Critical Care Medicine

NPI 1194712414

Doctor of Medicine (M.D.)

Debra Myers , CFNP

Nurse Practitioner - Family

NPI 1235208471

Tiffany Bloom , FNP-C

Nurse Practitioner - Family

NPI 1245920891

Family Nurse Practitioner (Certified)

Dr. Ashan Manohar , MD

Internal Medicine - Gastroenterology

NPI 1295725836

Doctor of Medicine (M.D.)

Dr. Anthony Abraham , DO

Surgery

NPI 1336474535

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location January 08, 2020

Registered at 20486 MARKET STREET, ONANCOCK, VA 23417 (Tel: 7573022700)

📍

Updated Business Mailing Address January 08, 2020

Registered at 856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 236011318 (Tel: 7573165800)

✅

NPI Profile Active January 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2015

Registered at 225 CLEARFIELD AVE, VIRGINIA BEACH, VA 234621815 (Tel: 7574575177)

📍

Updated Business Mailing Address January 08, 2015

Registered at 225 CLEARFIELD AVE, VIRGINIA BEACH, VA 234621815 (Tel: 7574575177)

👤

Provider Name / Credentials Updated January 08, 2015

Recorded as JACK LAMBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2015

Urology (License #0101254026 in VA)

🟢

Initial NPI Registration & Enumeration June 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518128453

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 23, 2008

Last Update: January 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

856 J Clyde Morris Blvd Ste A

Newport News, VA 236011318

Phone: 7573165800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.