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TRICARE MEDICAL CLINIC CHESAPEAKE
NPI 1861538258
Clinic/Center - Military/U.S. Coast Guard Outpatient in Portsmouth, VA

Active since January 30, 2007
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-5297 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tricare Medical Clinic Chesapeake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRICARE MEDICAL CLINIC CHESAPEAKE (NPI 1861538258) is a healthcare organization registered as a military/u.s. coast guard outpatient in Portsmouth, Virginia and active in the NPI registry since January 2007. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1861538258
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameTRICARE MEDICAL CLINIC CHESAPEAKE
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address1011 Eden Way N, Ste HChesapeake, VA 23320-2768 · (757) 953-6366
Phone(757) 953-5297
Organization SubpartYesParent: Naval Medical Center Portsmouth
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateJanuary 30, 2007
Last NPPES UpdateNovember 13, 2017
✔ NPI 1861538258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tricare Medical Clinic Chesapeake's NPI number?

The NPI number for Tricare Medical Clinic Chesapeake is 1861538258. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Tricare Medical Clinic Chesapeake located?

Tricare Medical Clinic Chesapeake is located at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-5297.

What is Tricare Medical Clinic Chesapeake's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Tricare Medical Clinic Chesapeake was last updated on November 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.