Provider Demographics
NPI:1326073917
Name:VAN VOORHEES, ABBY S (MD)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:S
Last Name:VAN VOORHEES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:EVMS MEDICAL GROUP
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5629
Mailing Address - Fax:757-446-6000
Practice Address - Street 1:721 FAIRFAX AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-2007
Practice Address - Country:US
Practice Address - Phone:757-446-5629
Practice Address - Fax:757-446-6000
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101259089207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1326073917OtherUSA MANAGED CARE
VA1326073917OtherTRICARE/CHAMPUS
VA1326073917OtherHUMANA
NC1326073917Medicaid
VA1326073917OtherVIRGINIA PREMIER HEALTH PLAN
VA1326073917OtherCORVEL
VA1326073917OtherUNITED HEALTHCARE
VA1326073917OtherVIRGINIA HEALTH NETWORK
VA1326073917OtherMULTIPLAN
VA1326073917OtherAETNA
VA1326073917Medicaid
VA1326073917OtherANTHEM BC/BS
VA1326073917OtherOPTIMA HEALTH
VA1326073917OtherCIGNA
VA1326073917OtherVIRGINIA PREMIER HEALTH PLAN
VAVVJ241AMedicare PIN