Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0101040574 | VA |
Y | 207VE0102X | Reproductive Endocrinologist | 0101040574 | VA |
NPI | 1558331330 |
---|---|
Provider Name | Dr. David Fitzgerald Archer |
First Address | Norfolk, VA 23501-0936 |
Second Address | Norfolk, VA 23507-1627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 28/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006227104 | (05) | VA |
-012 | TRICARE/CHAMPUS (01) | VA |
05077 | NC BC/BS (01) | NC |
081874 | ANTHEM (01) | VA |
15021 | SENTARA OPTIMA (01) | VA |
415249 | UHC/MAMSI (01) | |
7905077 | (05) | NC |
E05742 | (02) | VA |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |
PAR | CORVEL/CORCARE (01) | VA |
PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | VA |
PAR | MULTIPLAN (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |
PAR | VIRGINIA PREMIER HEALTH (01) | VA |