Individual
DR. JOHN H. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502-3800
(757) 466-0165
(757) 466-7296
Mailing address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502-3800
(757) 466-0165
(757) 466-7296
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101058086
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010132690
—
VA
01
—
174068
ANTHEM BCBS
VA
01
—
2310188
CIGNA
VA
01
—
7849751
AETNA
VA
01
—
93384
OPTIMA HEALTH PLAN
VA
01
—
P00210319
MEDICARE RAILROAD
VA
Enumeration date
01/20/2006
Last updated
04/23/2012
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