Individual
DR. MARTHA L MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12420 WARWICK BLVD STE 4C, NEWPORT NEWS, VA 23606-3053
(757) 596-7115
(757) 596-7127
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101037180
VA
207RI0200X
Infectious Disease Physician
Primary
0101037180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
TRICARE/CHAMPUS
VA
05
—
010108616
—
VA
01
—
0566N
BC/BS
NC
01
—
145302
ANTHEM
VA
01
—
487727
UHC/MAMSI
VA
01
—
78596
SENTARA OPTIMA
VA
05
—
890566N
—
NC
01
—
PAR
FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA
Enumeration date
02/27/2006
Last updated
05/07/2026
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