Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101036643 | VA |
NPI | 1023023793 |
---|---|
Provider Name | Harvey Sheldon St. Clair |
First Address | Atlanta, GA 30374-1593 |
Second Address | Norfolk, VA 23502-4700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 11/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006406971 | (05) | VA |
006406971 | VIRIGNIA PREMIER (01) | VA |
023095C41 | MEDICARE (01) | VA |
09-00056 | UHC (01) | VA |
1023023793 | TRICARE (01) | VA |
15157 | OPTIMA/SENTARA HEALTH (01) | VA |
253795 | ANTHEM BCBS (01) | VA |
2559256006 | CIGNA (01) | VA |
4004870 | AETNA (01) | VA |
54956 | MAMSI/OPTIMUM CHOICE (01) | VA |
615713 | NC PPO (01) | NC |
690543C | NORTH CAROLINA MEDICAID (01) | VA |
B76284 | (02) | VA |