Middle Peninsula General and Vascular Surgery – Surgery Physician, NPI 1104847854

Middle Peninsula General and Vascular Surgery is a healthcare provider. based in Newport news, Virginia. specializing in Surgery Physician. The NPI Number for Middle Peninsula General and Vascular Surgery is 1104847854

Main info

Organization
Name
Middle Peninsula General and Vascular Surgery
NPI
1104847854
Phone
(757) 594-4006
Address
856 J CLYDE MORRIS BLVD
Authorized Official
MICHAEL J DOUCETTE VICE PRESIDENT
Enumeration Date
21 July 2006
Last Update Date
25 February 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Middle Peninsula General and Vascular Surgery

  • 856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States

    SUITE A

    NEWPORT NEWS, VA 236011318

    Phone: (757) 594-4006

    Fax: (757) 594-2195

    Type: Mailing

  • Medical Center Drive, Washington Township, Gloucester County, New Jersey, 08080, United States

    SUITE 1500

    GLOUCESTER, VA 23061

    Phone: (804) 693-3081

    Fax: (804) 693-3283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23601)

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Frequently asked questions

What is the standard ID for Middle Peninsula General and Vascular Surgery in the U.S.?
In the U.S., Middle Peninsula General and Vascular Surgery is identified by NPI 1104847854.
Should I treat Middle Peninsula General and Vascular Surgery as an active provider?
Patients and plans typically see Middle Peninsula General and Vascular Surgery as active in the national extract.
What type of care does Middle Peninsula General and Vascular Surgery provide?
Middle Peninsula General and Vascular Surgery's profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Middle Peninsula General and Vascular Surgery?
The directory associates Middle Peninsula General and Vascular Surgery with Newport News, Virginia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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