MEDICARE: DAVID M POWELL 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	174400000X	Specialist	0101051961	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	53131	OTHER	VA	OPTIMA

General Provider Information

NPI Number	:	1720084957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M POWELL MD

Provider Business Mailing Address
First Line	:	5900 LAKE WRIGHT DR
Second Line	:	SUITE 300
City	:	NORFOLK
State	:	VA
Zip	:	23502-1871
Country	:	US
Telephone Number	:	757-213-5700
Fax Number	:	757-213-5701

Provider Business Practice Location Address
First Line	:	3000 COLISEUM DR
Second Line	:	SUITE 104
City	:	HAMPTON
State	:	VA
Zip	:	23666-5963
Country	:	US
Telephone Number	:	757-827-9400
Fax Number	:	757-827-9320

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/12/2007

Similar Medicare Providers

1568325348 — MS. PERRIN KEENER CSFA
Practice Location Address:

3000 COLISEUM DR
HAMPTON, VA
23666-5963

Practice Phone: 757-736-1000
Practice Fax:

1912860669 — LOUISA ELLISON BSN, RN
Practice Location Address:

3000 COLISEUM DR
HAMPTON, VA
23666-5963

Practice Phone: 757-736-1000
Practice Fax:

1336109107 — SENTARA HOSPITALS
Practice Location Address:

3000 COLISEUM DR
HAMPTON, VA
23666-5963

Practice Phone: 757-736-2650
Practice Fax:

1467589234 — SENTARA HOSPITALS
Practice Location Address:

3000 COLISEUM DR
HAMPTON, VA
23666-5963

Practice Phone: 757-736-1200
Practice Fax: 757-736-1250

1376548057 — SCOTT KRUGER MD
Practice Location Address:

3000 COLISEUM DR , SUITE 104
HAMPTON, VA
23666-5963

Practice Phone: 757-827-9400
Practice Fax: 757-827-9320

1457357444 — KIMBERLY A HEATH NP
Practice Location Address:

3000 COLISEUM DR , SUITE 104
HAMPTON, VA
23666-5963

Practice Phone: 757-827-9400
Practice Fax: 757-827-9320

Directions to “ DAVID M POWELL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.