Matthew J Bak
Plastic Surgeon (Head & Neck)
600 Gresham Dr Suite 1100
Norfolk
, Virginia 23507-1904
Matthew J Bak
Plastic Surgeon (Head & Neck)
600 Gresham Dr Suite 1100
Norfolk
, Virginia 23507-1904
(757) 388-6201
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Matthew J Bak
- Po Box 936
- Norfolk, VA
- Zip : 23501-0936
- Fax : (757) 388-6201
- Phone : (757) 388-6200
Second Address
- Matthew J Bak
- 600 Gresham Dr Suite 1100
- Norfolk, VA
- Zip : 23507-1904
- Fax : (757) 388-6201
- Phone : (757) 388-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 0101245661 | VA |
National Provider Identifier
| NPI | 1659386076 |
|---|---|
| Provider Name | Matthew J Bak |
| First Address | Norfolk, VA 23501-0936 |
| Second Address | Norfolk, VA 23507-1904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 28/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| -004 | TRICARE/CHAMPUS (01) | VA |
| 10047408 | SENTARA OPTIMA HEALTH (01) | VA |
| 11764 | BC/BS (01) | NC |
| 1659386076 | (05) | VA |
| 373342 | ANTHEM BC/BS (GRESHAM DR.) (01) | VA |
| 373343 | ANTHEM BC/BS (FIRST COLONIAL RD.) (01) | VA |
| 5911764 | (05) | NC |
| 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 | UNITED HEALTH CARE (01) | VA |
| PAR | USA MANAGED CARE (01) | VA |
| PAR | VIRGINIA HEALTH NETWORK (01) | VA |
| PAR | VIRGINIA PREMIER HEALTH (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.