Healthcare Provider Details

I. General information

NPI: 1598640948
Provider Name (Legal Business Name): MICHAEL SMITH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 KEMPSVILLE RD
NORFOLK VA
23502-3920
US

IV. Provider business mailing address

2304 CRETAN CT
VIRGINIA BEACH VA
23454-4052
US

V. Phone/Fax

Practice location:
  • Phone: 757-261-6000
  • Fax:
Mailing address:
  • Phone: 757-717-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number0136001076
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: