Healthcare Provider Details

I. General information

NPI: 1831372176
Provider Name (Legal Business Name): MIRIAM U. SCHOEPF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

PO BOX 843035
BOSTON MA
02284-3035
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7007
  • Fax: 757-668-8658
Mailing address:
  • Phone: 757-668-7200
  • Fax: 757-668-9691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101242504
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: