Healthcare Provider Details

I. General information

NPI: 1417169111
Provider Name (Legal Business Name): JOHN J CHRISTOPHEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 ENTERPRISE PKWY STE 300
HAMPTON VA
23666-6249
US

IV. Provider business mailing address

901 ENTERPRISE PKWY STE 300
HAMPTON VA
23666-6249
US

V. Phone/Fax

Practice location:
  • Phone: 757-825-2500
  • Fax: 757-825-2521
Mailing address:
  • Phone: 757-825-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0116016411
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number0101247624
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: