Provider Demographics
NPI:1174505200
Name:JOYCE, MICHAEL HARRISON II (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HARRISON
Last Name:JOYCE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:HARRISON
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 RYCROFT CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455
Mailing Address - Country:US
Mailing Address - Phone:757-499-7339
Mailing Address - Fax:757-451-5000
Practice Address - Street 1:7423 GRANBY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3406
Practice Address - Country:US
Practice Address - Phone:757-451-5000
Practice Address - Fax:757-451-5005
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035920208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006747558MedicaidMEDICAID PROVIDER ID
VA006747558MedicaidMEDICAID PROVIDER ID