# HAMPTON ROADS MEDICAL SPECIALISTS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013986579
- **Authorized official:** DR. STEPHEN L GREEN MD (PRESIDENT)
- **Authorized official phone:** (757) 869-9922

## Contact information

- **Practice address:** 2131 S BONITO WAY, MERIDIAN, ID 83642-1659
- **Practice address phone:** (208) 489-9500
- **Mailing address:** 26 TOWN CENTER WAY \# 704, HAMPTON, VA 23666-1999
- **Mailing address phone:** (757) 771-8049
- **Mailing address fax:** (757) 851-1285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 0101028335 | VA | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 02/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006069479 | — | VA |
| 01 | — | 1013986579 | NPI CORPORATION | VA |
| 01 | — | 1477679496 | NPI INDIVIDUAL | VA |