Individual
DR. SCOTT A NOTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 KEMPSVILLE RD, BUILDING B, NORFOLK, VA 23502-4700
(757) 668-6500
Mailing address
171 KEMPSVILLE RD, BUILDING B, NORFOLK, VA 23502-4700
(757) 668-6500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101232762
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006736254
VA PREMIER
—
05
—
006736254
—
VA
01
—
280773
MDIPA/MAMSI
—
01
—
460594
ANTHEM
—
01
—
541778786001
TRICARE
—
01
—
62288
OPTIMA
—
05
—
89065PV
—
NC
Enumeration date
06/09/2006
Last updated
01/03/2013
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