1588655302 NPI number — DR. JAMES KAYE MD

Table of content: DR. JAMES KAYE MD (NPI 1588655302)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588655302 NPI number — DR. JAMES KAYE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAYE
Provider First Name:
JAMES
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1588655302
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 45
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASSAWADOX
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23413-0045
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-442-0605
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9507 HOSPITAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASSAWADOX
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-442-8743
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/01/2005

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: 174400000X , with the licence number:  0101043438 , 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: 215704 . This is a "MDIPA/UNITED" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 092190 . This is a "ANTHEM/BLUE CROSS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 104638 . This is a "SENTARA HEALTH PLANS,INC" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 85499 . This is a "VIRGINIA PREMIER HEALTH P" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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