Provider Demographics
NPI:1053339309
Name:FRANCIS, VERNON (MD)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 RIVERVIEW AVENUE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1064
Mailing Address - Country:US
Mailing Address - Phone:757-624-1785
Mailing Address - Fax:757-624-1759
Practice Address - Street 1:301 RIVERVIEW AVENUE
Practice Address - Street 2:SUITE 500
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1064
Practice Address - Country:US
Practice Address - Phone:757-624-1785
Practice Address - Fax:757-624-1759
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101034372207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAA103566OtherINDIVIDUAL PTAN
VA010214858Medicaid
VA006167C68Medicare ID - Type Unspecified
VA010214858Medicaid