Healthcare Provider Details

I. General information

NPI: 1396414413
Provider Name (Legal Business Name): TREMAINE RAEL MCDONALD HIT, CCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2021
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 CORAL CT APT 2G
NEWPORT NEWS VA
23606-4341
US

IV. Provider business mailing address

540 CORAL CT APT 2G
NEWPORT NEWS VA
23606-4341
US

V. Phone/Fax

Practice location:
  • Phone: 757-447-4517
  • Fax:
Mailing address:
  • Phone: 757-447-4517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number220595
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: