Provider Demographics
NPI:1033426150
Name:HUGHES, MARYBETH SCAVONE (MD)
Entity Type:Individual
Prefix:
First Name:MARYBETH
Middle Name:SCAVONE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-8960
Mailing Address - Fax:757-446-5197
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:STE 610
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-8960
Practice Address - Fax:757-446-5197
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01011025572086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1033426150OtherVIRGINIA HEALTH NETWORK
NC1033426150Medicaid
VA1033426150OtherCIGNA
VA1033426150OtherCORVEL
VA1033426150OtherUSA MANAGED CARE
VA1033426150OtherHUMANA
VA1033426150Medicaid
VA1033426150OtherMULTIPLAN
VA1033426150OtherANTHEM BC/BS
VA1033426150OtherOPTIMA HEALTH
VA1033426150OtherAETNA
VA1033426150OtherCOVENTRY HEALTH CARE
VA1033426150OtherVIRGINIA PREMIER HEALTH PLAN
VA1033426150OtherTRICARE/CHAMPUS
VA1033426150OtherUNITED HEALTHCARE
VA1033426150OtherHUMANA
VA1033426150OtherOPTIMA HEALTH