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NPI Code Detail

MEDICARE: SCOTT J CROSS MD

MEDICARE: SCOTT J CROSS 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
1174400000XSpecialist0101234754VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00028274OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
265658OTHERVAOPTIMA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922003763
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT J CROSS MD
Provider Business Mailing Address
First Line : 5900 LAKE WRIGHT DR
Second Line : SUITE 300
City : NORFOLK
State : VA
Zip : 23502-1871
Country : US
Telephone Number : 757-213-5700
Fax Number : 757-213-5701
Provider Business Practice Location Address
First Line : 5900 LAKE WRIGHT DR
Second Line :
City : NORFOLK
State : VA
Zip : 23502-1871
Country : US
Telephone Number : 757-466-8683
Fax Number : 757-466-8892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 04/11/2011

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Directions to “ SCOTT J CROSS MD” Practice Location

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