Provider Demographics
NPI:1003931981
Name:VIRGINIA MEDICAL SPECIALIST, PLC
Entity Type:Organization
Organization Name:VIRGINIA MEDICAL SPECIALIST, PLC
Other - Org Name:PULMONARY AND CRITICAL CARE SPECIALISTS, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ADOLFO
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-524-5277
Mailing Address - Street 1:516 INNOVATION DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3866
Mailing Address - Country:US
Mailing Address - Phone:757-524-5277
Mailing Address - Fax:757-995-1990
Practice Address - Street 1:516 INNOVATION DR STE 201
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3866
Practice Address - Country:US
Practice Address - Phone:757-524-5277
Practice Address - Fax:757-524-5277
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRGINIA MEDICAL SPECIALIST, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-20
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC05918Medicare ID - Type Unspecified