MEDICARE: ANSIBLEHEALTH INC.

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1750044095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANSIBLEHEALTH INC.

Provider Business Mailing Address
First Line	:	249 CENTRAL PARK AVE STE 300-55
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3099
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	249 CENTRAL PARK AVE STE 300-55
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3099
Country	:	US
Telephone Number	:	718-577-2338
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. MING JACK PO
Credential	:	MD
Telephone Number	:	877-267-4253

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	04/25/2025

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Directions to “ANSIBLEHEALTH INC. ” Practice Location

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