Basic Information
Provider Information
NPI: 1093129132
EntityType: 2
ReplacementNPI:  
OrganizationName: VIRGINIA ONCOLOGY ASSOCIATES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 6251 E VIRGINIA BEACH BLVD STE 200
Address2:  
City: NORFOLK
State: VA
PostalCode: 235022824
CountryCode: US
TelephoneNumber: 7572135722
FaxNumber: 7572135701
Practice Location
Address1: 500 SENTARA CIR
Address2: SUITE 203
City: WILLIAMSBURG
State: VA
PostalCode: 231885727
CountryCode: US
TelephoneNumber: 7572292236
FaxNumber: 7572210409
Other Information
ProviderEnumerationDate: 06/17/2014
LastUpdateDate: 06/24/2021
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: FEIGHT
AuthorizedOfficialFirstName: BARBARA
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: MANAGED CARE COORD
AuthorizedOfficialTelephone: 7572135683
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: VIRGINIA ONCOLOGY ASSOCIATES
AuthorizedOfficialNamePrefix:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332900000X  N SuppliersNon-Pharmacy Dispensing Site 

No ID Information.


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