Jared Lee Antevil in Portsmouth - Thoracic Surgery (cardiothoracic Vascular Surgery)
Jared Lee Antevil - NPI 1871578534
Jared Lee Antevil is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Portsmouth, Virginia. Jared Lee Antevil practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Jared Lee Antevil is 1871578534. The last update date is 2016-04-25.
Jared Lee Antevil's current location address is 620 John Paul Jones Circle, Portsmouth, Virginia. You can contact this provider via phone number 7579532489 and fax number 7579530811. The mailing address for Jared Lee Antevil is 620 John Paul Jones Circle, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared Lee Antevil |
|---|---|
| Address | 620 John Paul Jones Circle, Portsmouth, Virginia |
| Phone Number | 7579532489 |
| Fax Number | 7579530811 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871578534 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2016-04-25 |
Provider Mailing Address Detail
| Address | 620 John Paul Jones Circle |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237082197 |
| Phone Number | 7579532489 |
| Fax Number | 7579530811 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 101246647 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1871578534 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jared Lee Antevil by the Centers for Medicare & Medicaid Services?
The Jared Lee Antevil has been assigned the NPI (National Provider Identifier) 1871578534 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jared Lee Antevil is physically located?
The Jared Lee Antevil is physically situated at the following address: 620 John Paul Jones Circle, Portsmouth, VA, 237082197.
What is the area of specialization for Jared Lee Antevil, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jared Lee Antevil is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this area of expertise is 208G00000X.
When did the Jared Lee Antevil receive its 1871578534?
The Jared Lee Antevil was issued its 1871578534 on 2005-12-14, which is the date when the organization was assigned this unique identifier.
When was the information related to Jared Lee Antevil most recently updated or refreshed?
The details pertaining to the Jared Lee Antevil, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-04-25.