DR. MD Stephanie Ann Moody Antonio, NPI 1366418956
Otology & Neurotology Physician in Norfolk, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1366418956
NPI Entity Type Individual
Provider Name DR. MD Stephanie Ann Moody Antonio
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 600 Gresham Dr, Suite 1100, Norfolk, VA, US
Provider Mailing Address Po Box 936, Norfolk, VA, US, 235010936
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207YX0901X

Taxonomy Name Otology & Neurotology Physician
Classification

Otolaryngology

Group

Allopathic & Osteopathic Physicians

License No. 0101237385
License State VA
Description An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Business Address

DR. MD Stephanie Ann Moody Antonio
600 Gresham Dr
Suite 1100

Norfolk, VA, US

Phone: 757-388-6200
Fax: 757-388-6201

Mailing Address

DR. MD Stephanie Ann Moody Antonio
Po Box 936
Norfolk, VA, US
ZIP 235010936
Phone: 757-388-6200
Fax: 757-388-6201

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Y00000X

Allopathic & Osteopathic Physicians

Otolaryngology

0101237385 VA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
174750 VA ANTHEM 01
PAR VA USA MANAGED CARE 01
PAR VA MULTIPLAN 01
PAR VA FIRST HEALTH COMMERCIAL 01
067RG NC BC/BS 01
172403 VA ANTHEM 01
91377 VA SENTARA OPTIMA 01
PAR VA VA PREMIER HEALTH 01
PAR VA CIGNA 01
-004 VA TRICARE/CHAMPUS 01
010170095 VA MEDICAID 05
PAR VA VA HEALTH NETWORK 01
PAR VA CORVEL/CORCARE 01
010118387 VA MEDICAID 05
2129791 VA UHC/MAMSI 01
PAR VA AETNA 01
89067RG NC MEDICAID 05

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