Basic Information
| Provider Information | |||||||||
| NPI: | 1588711386 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADLER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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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: | 01/04/2007 | ||||||||
| LastUpdateDate: | 12/24/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 12/24/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | 0101248969 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RC0000X | 0101248969 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 1588711386 | 01 | VA | MEDCOST | OTHER | 10078030 | 01 | VA | OPTIMA | OTHER | 1588711386 | 01 | VA | COVENTRY | OTHER | 10078441 | 01 | VA | OPTIMA HEALTH | OTHER | 1588711386 | 01 | VIRGINIA HEALTH NETWORK | OTHER | 1588711386 | 01 | VA | VIRGINIA PREMIER HEALTH PLAN | OTHER | 1588711386 | 01 | VA | MULTIPLAN | OTHER | 1588711386 | 05 | VA | MEDICAID | 1588711386 | 01 | UNITED HEALTHCARE | OTHER | 1588711386 | 01 | VA | CORVEL | OTHER | 5917812 | 05 | NC | MEDICAID | 1588711386 | 01 | VA | TRICARE | OTHER | 1588711386 | 01 | VA | ANTHEM BCBS | OTHER | 5288833 | 01 | VA | CIGNA | OTHER | 1588711386 | 01 | VA | USA MANAGED CARE | OTHER | 1588711386 | 01 | VA | AETNA | OTHER | 1588711386 | 01 | VA | COVENTRY HEALTH CARE | OTHER |