Wayne D Old
Interventional Cardiology Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
612 Kingsborough Sq Suite 100
Chesapeake
, Virginia 23320-5041
Wayne D Old
Interventional Cardiology Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
612 Kingsborough Sq Suite 100
Chesapeake
, Virginia 23320-5041
(757) 686-0541
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Wayne D Old
- Po Box 7068
- Portsmouth, VA
- Zip : 23707-0068
- Fax : (757) 686-0541
- Phone : (757) 686-3508
Second Address
- Wayne D Old
- 612 Kingsborough Sq Suite 100
- Chesapeake, VA
- Zip : 23320-5041
- Fax : (757) 213-9374
- Phone : (757) 547-9294
Reviews
FAQs
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What is Wayne D Old ’s gender?
Is Wayne D Old a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101035591 | VA |
| N | 207RC0000X | Internist - Cardiovascular Disease | 0101035590 | VA |
| N | 207RI0011X | Interventional Cardiology | 0101035590 | VA |
National Provider Identifier
| NPI | 1336115799 |
|---|---|
| Provider Name | Wayne D Old |
| First Address | Portsmouth, VA 23707-0068 |
| Second Address | Chesapeake, VA 23320-5041 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 03/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| -001 | CHAMPUS/TRICARE (01) | VA |
| 006010393 | (05) | VA |
| 006059066 | (05) | VA |
| 0570R | BC/BS NC (01) | NC |
| 15071 | OPTIMA/SENTARA (01) | VA |
| 250366 | ATHEM BC/BS VA/HK (01) | VA |
| 259544 | ANTHEM BCBS (01) | VA |
| 263654 | UHC/MAMSI/MDIPA (01) | VA |
| 75288 | SENTARA OHP/SHP (01) | VA |
| 890570R | (05) | NC |
| B06893 | (02) | VA |
| PAR | AETNA PPO (01) | VA |
| PAR | CIGNA (01) | VA |
| PAR | CORVEL/CORCARE (01) | VA |
| PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | VA |
| PAR | MID-ATLANTIC VICARE (01) | VA |
| PAR | MULTIPLAN (01) | VA |
| PAR | USA MANAGED CARE (01) | VA |
| PAR | VHN/PHCS (01) | VA |
| PAR | VPH (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.