MEDICARE: DR. STEPHEN W. KAYOTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	0101053621	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	1083687099	OTHER	VA	HUMANA MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1083687099	OTHER	VA	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1083687099	OTHER	VA	VIRGINIA HEALTH NETWORK
5	1083687099	OTHER	VA	UNITED HEALTHCARE
6	1083687099	OTHER	VA	ANTHEM BCBS VA
7	1083687099	OTHER	VA	COVENTRY
8	1083687099	OTHER	VA	TRICARE
9	1083687099	OTHER	VA	OPTIMA
10	1083687099	OTHER	VA	CIGNA
11	1083687099	OTHER	VA	DEPARTMENT OF LABOR

General Provider Information

NPI Number	:	1083687099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN W. KAYOTA MD

Provider Business Mailing Address
First Line	:	1120 FIRST COLONIAL RD
Second Line	:	SUITE 206
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2418
Country	:	US
Telephone Number	:	757-496-2325
Fax Number	:	757-496-1942

Provider Business Practice Location Address
First Line	:	1120 FIRST COLONIAL RD
Second Line	:	SUITE 206
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2418
Country	:	US
Telephone Number	:	757-496-2325
Fax Number	:	757-496-1942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	10/19/2022

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Directions to “ DR. STEPHEN W. KAYOTA MD” Practice Location

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