MEDICARE: DR. RONALD SCOTT MCKECHNIE MD

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	207RC0000X	Cardiovascular Disease Physician	0101236030	VA
2	207RI0011X	Interventional Cardiology Physician	0101236030	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PAR	OTHER	VA	AETNA PPO
2	116749	OTHER	VA	ANTHEM BCBS
3	5124077	OTHER	VA	UHC/MAMSI/MDIPA
4	PAR	OTHER		FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
5	PAR	OTHER		USA MANAGED CARE
6	PAR	OTHER		CORVEL/CORCARE
7	PAR	OTHER		VIRGINIA PREMIER HEALTH
8	PAR	OTHER		MULTIPLAN
9	15792	OTHER	VA	SENTARA OHP/SHP
10	75336	OTHER	VA	OPTIMA/SENTARA
11	067R1	OTHER	NC	BCBS
12	-001	OTHER	VA	CHAMPUS/TRICARE
13	165717	OTHER	VA	ATHEM BC/BS VA/HK
14	PAR	OTHER		VIRGINIA HEALTH NETWORK
15	PAR	OTHER	VA	CIGNA
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689640039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD SCOTT MCKECHNIE MD

Provider Business Mailing Address
First Line	:	2075 GLENN MITCHELL DR STE 400
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-0179
Country	:	US
Telephone Number	:	757-252-9365
Fax Number	:	757-962-7217

Provider Business Practice Location Address
First Line	:	2075 GLENN MITCHELL DR STE 400
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-0179
Country	:	US
Telephone Number	:	757-252-9365
Fax Number	:	757-962-7217

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	10/30/2023

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