Provider Demographics
NPI:1629144894
Name:SPOSATO, JOSEPH J (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:SPOSATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:620 JOHN PAUL JONES CIR
Mailing Address - Street 2:CARDIOLOGY DIVISION
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-1276
Mailing Address - Fax:757-953-0811
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:CARDIOLOGY DIVISION
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-1276
Practice Address - Fax:757-953-0811
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201931207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherMULTIPLAN (600 GRESHAM DR)
VAPAROtherFIRST HEALTH COMMERICAL/SOUTHERN HEALTH/COVENTRY
VA10033627OtherSENTARA/OPTIMA (600 GRESHAM DR)
VA6821081OtherCIGNA
VAPAROtherVA HEALTH NETWORK (600 GRESHAM DR)
VAPAROtherCORVEL/CORCARE
NC5906341Medicaid
VA7542902OtherAETNA
VA10016803OtherOPTIMA/SENTARA
VA353760OtherANTHEM - 600 GRESHAM DRIVE
VA4165031OtherUHC/MAMSI (600 GRESHAM DR)
VAPAROtherVIRGINIA PREMIER HEALTH (600 GRESHAM DR.)
VA165031OtherUNITEDHEALTHCARE/MAMSI,ET
VA268251OtherANTHEM BCBS/HEALTHKEEPERS
NC068AYOtherBCBS OF NC
VA1101076OtherUSA - 600 GRESHAM DR
VA1629144894Medicaid
VAPAROtherVA HEALTH NETWORK (600 GRESHAM DR)
VA6821081OtherCIGNA
VA10033627OtherSENTARA/OPTIMA (600 GRESHAM DR)
NC5906341Medicaid