Provider Demographics
NPI:1649243502
Name:CIUFFO, ALLEN ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ANTHONY
Last Name:CIUFFO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 KEMPSVILLE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3927
Mailing Address - Country:US
Mailing Address - Phone:757-261-0700
Mailing Address - Fax:
Practice Address - Street 1:844 KEMPSVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3927
Practice Address - Country:US
Practice Address - Phone:757-261-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038820207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA263654OtherUHC/MAMSI
VAPAROtherUSA MANAGED CARE
VAPAROtherVIRGINIA HEALTH NETWORK
VA006047807Medicaid
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherAETNA
VA249505OtherMAMSI
VAPAROtherCIGNA
VA250372OtherANTHEM BC/BS VA/HK
NC7906575Medicaid
VA050278OtherANTHEM BC/BS
NC06575OtherBC/BS NC
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA006030386Medicaid
VA15792OtherSENTARA OHP/SHP
VA15896OtherOPTIMA HEALTH PLAN
VAPAROtherCORVEL/CORCARE
VAPAROtherMULTIPLAN (EVMS HEALTH SERVICES)
VA-001OtherTRICARE/CHAMPUS
VA060019288Medicare PIN
VA060000344Medicare PIN
NC06575OtherBC/BS NC
VA15896OtherOPTIMA HEALTH PLAN
VA006047807Medicaid