Basic Information
| Provider Information | |||||||||
| NPI: | 1205047628 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOYNER | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2075 GLENN MITCHELL DR STE 400 | ||||||||
| Address2: | |||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234560179 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572529365 | ||||||||
| FaxNumber: | 7579627217 | ||||||||
| Practice Location | |||||||||
| Address1: | 2075 GLENN MITCHELL DR STE 400 | ||||||||
| Address2: | |||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234560179 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572529365 | ||||||||
| FaxNumber: | 7579627217 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2007 | ||||||||
| LastUpdateDate: | 07/06/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 010239644 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 0101239644 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | PAR | 01 | VA | VA HEALTH NETWORK (600 GRESHAM DR) | OTHER | PAR | 01 | VA | VA PREMIER HEALTH (EVMS HEALTH SERVICES) | OTHER | 09179 | 01 | NC | BC/BS (EVMS HEALTH SERVICES) | OTHER | 5909179 | 05 | NC | MEDICAID | 9447132 | 01 | VA | AETNA (CARDIOVASCULAR ASSOC LTD) | OTHER | 353846 | 01 | VA | ANTHEM BCBS (CARDIOVASCULAR ASSOC LTD) | OTHER | -001 | 01 | VA | TRICARE | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL (600 GRESAHM DR) | OTHER | 148E5 | 01 | NC | BCBS (CARDIOVASCULAR ASSOC LTD) | OTHER | 2181285 | 01 | VA | MAMSI/MDIPA (CARDIOVASCULAR ASSOC LTD) | OTHER | 3636274 | 01 | VA | CIGNA (CARDIOVASCULAR ASSOC LTD) | OTHER | 3636274 | 01 | VA | CIGNA (600 GRESHAM DR) | OTHER | 1205047628 | 05 | VA | MEDICAID | 3181555 | 01 | UHC/MAMSI (EVMS HEALTH SERVICES) | OTHER | 10035982 | 01 | VA | SENTARA/OPTIMA (600 GRESHAM DR) | OTHER | 1205047628 | 01 | VA | TRICARE | OTHER | 353849 | 01 | VA | ANTHEM - 600 GRESHAM DRIVE | OTHER |