Provider Demographics
NPI:1629013594
Name:DOCTORS CLINIC, LTD.
Entity Type:Organization
Organization Name:DOCTORS CLINIC, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:HOYT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:757-244-7901
Mailing Address - Street 1:7320 WARWICK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-1514
Mailing Address - Country:US
Mailing Address - Phone:757-244-7901
Mailing Address - Fax:757-245-3156
Practice Address - Street 1:7320 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-1514
Practice Address - Country:US
Practice Address - Phone:757-244-7901
Practice Address - Fax:757-245-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA33758OtherANTHEM GROUP NUMBER
VAC03011Medicare ID - Type UnspecifiedMC GROUP NUMBER