1205047628 NPI number — SARAH ELIZABETH JOYNER MD

Table of content: (NPI 1992238182)

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 ELIZABETH JOYNER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOYNER
Provider First Name:
SARAH
Provider Middle Name:
ELIZABETH
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:
07/18/2024
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: 207RC0000X , with the licence number:  0101239644 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • 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" .

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

  • 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: 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: 353849 . This is a "ANTHEM - 600 GRESHAM DRIVE" 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: 2181285 . This is a "MAMSI/MDIPA (CARDIOVASCULAR ASSOC LTD)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 3181555 . This is a "UHC/MAMSI (EVMS HEALTH SERVICES)" identifier . 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: 1205047628 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5909179 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • 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: 3636274 . This is a "CIGNA (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: 148E5 . This is a "BCBS (CARDIOVASCULAR ASSOC LTD)" identifier , issued by the state of ( NC ) . 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: PAR . This is a "VA HEALTH NETWORK (600 GRESHAM DR)" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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