1164420055 NPI number — CLAUDE MATTHEW MCBEE M.D.

Table of content: CLAUDE MATTHEW MCBEE M.D. (NPI 1164420055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164420055 NPI number — CLAUDE MATTHEW MCBEE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCBEE
Provider First Name:
CLAUDE
Provider Middle Name:
MATTHEW
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCBEE
Provider Other First Name:
CLAUDE
Provider Other Middle Name:
MATTHEW
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1164420055
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 BURNETTS WAY
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
SUFFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-539-7824
Provider Business Mailing Address Fax Number:
757-538-9474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 BURNETTS WAY
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
SUFFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-539-7824
Provider Business Practice Location Address Fax Number:
757-538-9474
Provider Enumeration Date:
07/13/2005

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: 208600000X , with the licence number:  0101053967 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2086S0129X , with the licence number: 0101053967 , 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: VV3228A319 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 57528 . This is a "OPTIMA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 8906106 . This is a "MEDICAID OF NC" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 007309066 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 325217 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 770001872 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com