Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101053967 | VA |
N | 208600000X | Surgeon | 0101053967 | VA |
Y | 2086S0129X | Vascular Surgeon | 0101053967 | VA |
NPI | 1164420055 |
---|---|
Provider Name | Claude Matthew Mcbee |
First Address | Suffolk, VA 23434 |
Second Address | Suffolk, VA 23434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 28/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007309066 | (05) | VA |
325217 | ANTHEM (01) | VA |
57528 | OPTIMA (01) | VA |
770001872 | MEDICARE RAILROAD (01) | VA |
8906106 | MEDICAID OF NC (01) | VA |
G30614 | (02) | VA |
VV3228A319 | MEDICARE (01) |