BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC
NPI 1255945739
Family Medicine in Norfolk, VA

NPI Status: Active since September 02, 2020

Contact Information

999 WATERSIDE DR STE 2525
NORFOLK, VA
ZIP 23510
Phone: (757) 777-3433
Fax: (855) 818-3907

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  • Organization
  • Family Medicine

About BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC

This page provides the complete NPI Profile along with additional information for Bluestone Physician Services Southeast Llc, a primary care provider established in Norfolk, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1255945739 assigned on September 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Bluestone Physician Services Florida, Llc. The authorized official of this NPI record is Tim Koehler (Coo)

NPI
1255945739
Provider Legal Name
BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC
Other Organization Name
BLUESTONE PHYSICIAN SERVICES FLORIDA, LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
999 WATERSIDE DR STE 2525 NORFOLK, VA 23510
Location Phone
(757) 777-3433
Location Fax
(855) 818-3907
Mailing Address
270 MAIN ST N STE 300 STILLWATER, MN 55082
Mailing Phone
(651) 342-1039
Mailing Fax
(855) 818-3907
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2020
Last Update Date
10-22-2020
Code Navigator

A primary care provider (PCP) like Bluestone Physician Services Southeast Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIM KOEHLER

Authorized Official Title
COO
Authorized Official Phone
(651) 342-1039

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255945739
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051841076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 8 + 4 + 1 + 0 + 7 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1255945739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568094225A CHANCE FOR CHANGE LLC
Organization
Counselor (Addiction (Substance Use Disorder))999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 777-3454
1194336313LIFEPHYSICIAN, LLC
Organization
Clinic/Center (Primary Care)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(925) 824-3198
1881293421 JAMAR HUMPHREY
Individual
Driver999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 735-0954
1518691146PAYDAY GAMES LLC
Organization
Non-emergency Medical Transport (VAN)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 735-0954
1275234460OWNA THERAPEUTIC SERVICES LLC
Organization
Community/Behavioral Health999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 304-8801
1396429106PLUME HEALTH PC
Organization
Family Medicine999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(720) 248-4483
1275316424TRICOASTAL PSYCHOLOGICAL SERVICES, LLC
Organization
Psychologist (Clinical)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 204-5701
1558044750BUILDING YOUNG MEN & WOMEN FAMILY SERVICES
Organization
Counselor (Addiction (Substance Use Disorder))999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 560-2238
1689458085LOVE & SERENITY HOME CARE LLC
Organization
In Home Supportive Care999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 672-8337
1417573189 KATINA DICKSON MA MATC QMHP-A
Individual
Counselor (Addiction (Substance Use Disorder))999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 777-3454
1063260875MS. JHANELLE WATSON NP
Individual
Nurse Practitioner (Family)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(347) 392-6438
1043817760APPENDIX INC
Organization
Counselor (Mental Health)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 664-9402
1679849277MISS BERTHINA LEKAY MCGILL MA, LMHC
Individual
Counselor (Mental Health)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 664-9402
1497590525 DAWAYNE DARREN HOLMES
Individual
Home Health999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 779-4728
1811734577ORTHOCARE SOLUTIONS, INC
Organization
Prosthetic/Orthotic Supplier999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(301) 990-1640
1760219158 STAR WILLIAMS
Individual
Technician, Pathology (Phlebotomy)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(804) 956-1501
1437545340 SAMANTHA MIRANDA BRAND M.D.
Individual
Family Medicine999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(202) 596-8891
1801984984MS. VICKIE VERONA HAWKINS LCSW
Individual
Social Worker (Clinical)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 777-3710
1972310670 EBONI DILLARD
Individual
Counselor999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(757) 664-9402
1033898861MRS. DARNETTA RECITIA ARMISTEAD LCSW-S
Individual
Social Worker (Clinical)999 WATERSIDE DR STE 2525
NORFOLK, VA 23510
(267) 530-8010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255945739, enumerated in the NPI registry as an "organization" on September 02, 2020

The provider is located at 999 Waterside Dr Ste 2525 Norfolk, Va 23510 and the phone number is (757) 777-3433

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on September 02, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.