Provider Demographics
NPI:1609861038
Name:TINSLEY, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:TINSLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:704 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE # 700
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4544
Mailing Address - Country:US
Mailing Address - Phone:757-873-2000
Mailing Address - Fax:757-873-2003
Practice Address - Street 1:704 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 3 700
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4544
Practice Address - Country:US
Practice Address - Phone:757-873-2000
Practice Address - Fax:757-873-2003
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2014-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101232079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00444847OtherRAILROAD MEDICARE
VA1609861038Medicaid
VA303112OtherANTHEM
VA1609861038Medicaid