MEDICARE: UNITED MEDICAL INCORPORATED

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1057007	OTHER	VA	CIGNA
3	260745	OTHER	VA	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1161	OTHER	VA	GENTIVA
7	1018888	OTHER	VA	ACM

General Provider Information

NPI Number	:	1699734509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED MEDICAL INCORPORATED

Provider Business Mailing Address
First Line	:	4654 HAYGOOD RD STE B
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5448
Country	:	US
Telephone Number	:	757-363-7746
Fax Number	:	757-363-8225

Provider Business Practice Location Address
First Line	:	4654 HAYGOOD RD STE B
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5448
Country	:	US
Telephone Number	:	757-363-7746
Fax Number	:	757-363-8225

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LISA ANN NORMAN
Credential	:	CMF, CF
Telephone Number	:	757-363-7746

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	01/22/2019

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Directions to “UNITED MEDICAL INCORPORATED ” Practice Location

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