Healthcare Provider Details

I. General information

NPI: 1710806831
Provider Name (Legal Business Name): FRANK IVEY II
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 LINBAY CT
CHESAPEAKE VA
23323-3945
US

IV. Provider business mailing address

607 LINBAY CT
CHESAPEAKE VA
23323-3945
US

V. Phone/Fax

Practice location:
  • Phone: 757-485-1214
  • Fax: 757-485-1214
Mailing address:
  • Phone: 757-485-1214
  • Fax: 757-485-1214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number0117000599
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: