Healthcare Provider Details

I. General information

NPI: 1730269689
Provider Name (Legal Business Name): CHRISTINE MARIE STOPYRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE MARIE ARRIOLA

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 01/02/2024
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 GODWIN BLVD FL 1
SUFFOLK VA
23434
US

IV. Provider business mailing address

620 GRESHAM DR SENTARA MEDICAL GROUP HOSPITALIST DIVISION
NORFOLK VA
23507
US

V. Phone/Fax

Practice location:
  • Phone: 757-934-4821
  • Fax: 757-934-4276
Mailing address:
  • Phone: 757-388-5447
  • Fax: 757-388-4242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101240474
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101240474
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME117499
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number64705
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: