Provider Demographics
NPI:1689640039
Name:MCKECHNIE, RONALD SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:SCOTT
Last Name:MCKECHNIE
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 1:2075 GLENN MITCHELL DR STE 400
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0179
Mailing Address - Country:US
Mailing Address - Phone:757-252-9365
Mailing Address - Fax:757-962-7217
Practice Address - Street 1:2075 GLENN MITCHELL DR STE 400
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0179
Practice Address - Country:US
Practice Address - Phone:757-252-9365
Practice Address - Fax:757-962-7217
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236030207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherAETNA PPO
VA116749OtherANTHEM BCBS
VA5124077OtherUHC/MAMSI/MDIPA
PAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
PAROtherUSA MANAGED CARE
PAROtherCORVEL/CORCARE
PAROtherVIRGINIA PREMIER HEALTH
PAROtherMULTIPLAN
VA15792OtherSENTARA OHP/SHP
VA75336OtherOPTIMA/SENTARA
NC067R1OtherBCBS
VA-001OtherCHAMPUS/TRICARE
VA165717OtherATHEM BC/BS VA/HK
PAROtherVIRGINIA HEALTH NETWORK
VAPAROtherCIGNA
VA010133033Medicaid
VA-001OtherCHAMPUS/TRICARE
PAROtherUSA MANAGED CARE
NC89067R1Medicaid
VA-001OtherCHAMPUS/TRICARE
NC067R1OtherBCBS
VA15792OtherSENTARA OHP/SHP
VA5124077OtherUHC/MAMSI/MDIPA
VA006702E30Medicare PIN