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Dr. Katelyn Rose Maguire , DO

General Practice β€’ Norfolk, VA

Active NPI 1780143750 Individual Practitioner Female Practitioner
Practice location in NPPES

1721 Admiral Taussig Blvd
Norfolk, VA 235112802

Call 7579539003 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1721 Admiral Taussig Blvd

Norfolk, VA 235112802

Telephone 7579539003

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Norfolk and Virginia

20 active clinicians are listed under General Practice with a practice address in Norfolk, VA (400 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Norfolk

0% of these 20 clinicians have the CMS telehealth indicator.

30% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0102206346

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Kristen Blandford , NP-C

Nurse Practitioner - Family

NPI 1972027373

Nurse Practitioner (Certified)

NPI 1891077814

Doctor of Pharmacy (Pharm.D.)

Patrick Donnelly , PA-C

Physician Assistant

NPI 1770994253

Physician Assistant (Certified)

Alexander Royzenblat

Dentist - Endodontics

NPI 1588635072

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location August 14, 2023

Registered at 1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 235112802 (Tel: 7579539003)

πŸ“
Updated Business Mailing Address August 14, 2023

Registered at 1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 235112802

πŸ‘€
Provider Name / Credentials Updated September 02, 2022

Recorded as KATELYN MAGUIRE, DO

πŸ“
Updated Practice Location June 04, 2021

Registered at 1775 FORRESTAL DR BLDG 33, NORFOLK, VA 235512111 (Tel: 5246670502)

πŸ“
Updated Business Mailing Address June 04, 2021

Registered at 918 MORGANSER DR, SWANSBORO, NC 285848659 (Tel: 5154940865)

πŸ‘€
Provider Name / Credentials Updated June 04, 2021

Recorded as KATELYN JOHNSON, DO

βœ…
NPI Profile Active March 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2019

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

πŸ“
Business Mailing Address (Initial Record) March 18, 2019

Registered at 5001 WHITE SETTLEMENT RD APT 2203, FORT WORTH, TX 761143961 (Tel: 5154940865)

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2019

Recorded as KATELYN JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780143750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2019
Last Update: August 14, 2023
Sole Proprietor: No

Other General Practices in Norfolk

All General Practices in Norfolk

Mailing Address

1721 Admiral Taussig Blvd

Norfolk, VA 235112802

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.