1205047628 NPI number — SARAH E. JOYNER MD

Table of content: SARAH E. JOYNER MD (NPI 1205047628)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205047628 NPI number — SARAH E. JOYNER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOYNER
Provider First Name:
SARAH
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205047628
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/06/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2075 GLENN MITCHELL DR STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23456-0179
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-252-9365
Provider Business Mailing Address Fax Number:
757-962-7217

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2075 GLENN MITCHELL DR STE 400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23456-0179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-252-9365
Provider Business Practice Location Address Fax Number:
757-962-7217
Provider Enumeration Date:
05/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  010239644 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 0101239644 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PAR . This is a "VA HEALTH NETWORK (600 GRESHAM DR)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: PAR . This is a "VA PREMIER HEALTH (EVMS HEALTH SERVICES)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 09179 . This is a "BC/BS (EVMS HEALTH SERVICES)" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 5909179 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9447132 . This is a "AETNA (CARDIOVASCULAR ASSOC LTD)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 353846 . This is a "ANTHEM BCBS (CARDIOVASCULAR ASSOC LTD)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: -001 . This is a "TRICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: PAR . This is a "FIRST HEALTH COMMERCIAL (600 GRESAHM DR)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 148E5 . This is a "BCBS (CARDIOVASCULAR ASSOC LTD)" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2181285 . This is a "MAMSI/MDIPA (CARDIOVASCULAR ASSOC LTD)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 3636274 . This is a "CIGNA (CARDIOVASCULAR ASSOC LTD)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 3636274 . This is a "CIGNA (600 GRESHAM DR)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1205047628 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3181555 . This is a "UHC/MAMSI (EVMS HEALTH SERVICES)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10035982 . This is a "SENTARA/OPTIMA (600 GRESHAM DR)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1205047628 . This is a "TRICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 353849 . This is a "ANTHEM - 600 GRESHAM DRIVE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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