MEDICARE: MICHAEL ANTHONY AURIGEMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	363AM0700X	Medical Physician Assistant	0110009506	VA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1548972375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANTHONY AURIGEMA

Provider Business Mailing Address
First Line	:	850 TIDEWATER DR STE A
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-3300
Country	:	US
Telephone Number	:	757-333-6992
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 TIDEWATER DR STE A
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-3300
Country	:	US
Telephone Number	:	757-333-6992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2022
Last Update Date	:	05/13/2026

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