1255304549 NPI number — DR. REBECCA ELISE BARCHAS MD

Table of content: DR. REBECCA ELISE BARCHAS MD (NPI 1255304549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255304549 NPI number — DR. REBECCA ELISE BARCHAS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARCHAS
Provider First Name:
REBECCA
Provider Middle Name:
ELISE
Provider Name Prefix Text:
DR.
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:
1255304549
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 VIKING DR
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23452-7477
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-468-0550
Provider Business Mailing Address Fax Number:
757-468-9992

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 VIKING DR
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23452-7477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-468-0550
Provider Business Practice Location Address Fax Number:
757-468-9992
Provider Enumeration Date:
02/08/2006

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: 2084P0800X , with the licence number:  0101030749 , 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: APP . This is a "ANTHEM HEALTH KEEPERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 087089 . This is a "SENTARA OPTIMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 34123967 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 007103468 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 213532 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000822 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 049689 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 012291 . This is a "ANTHEM PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10215 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 132795 . This is a "MANAGED HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".




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