| NPI | 1437101508 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-17 |
| Last Updated | 2025-08-20 |
| Mailing Address | 825 Fairfax Ave # 118 Norfolk, VA 23507-1914 United States Phone: (757) 446-5955 📍 View Map |
| Primary Practice Address | 825 Fairfax Ave # 118 Norfolk, VA 23507-1912 United States Phone: (757) 446-5955 | Fax: (757) 446-5196 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VA | 010189781 | - |
| Other (non-Medicare) | VA | P00377886 | Railroad Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | VA | 0101102617 |
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About NPI 1437101508
Gordon W Theisz MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1437101508. The primary specialty listed is Family Medicine. The provider is located in Norfolk, VA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1437101508?
NPI 1437101508 belongs to Gordon W Theisz MD, a Family Medicine in Norfolk, VA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1437101508 active?
The current status of NPI 1437101508 in the NPPES registry is Active. The record was last updated on 2025-08-20.
What specialty is NPI 1437101508?
NPI 1437101508 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1437101508?
You can verify NPI 1437101508 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1437101508?
The primary practice address on file for NPI 1437101508 is 825 Fairfax Ave # 118, Norfolk, VA 23507-1912. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1437101508 issued?
NPI 1437101508 was first issued (enumerated) on 2006-05-17. The NPPES record was last updated on 2025-08-20.
Practice Location Map
Gordon W Theisz is located at 825 Fairfax Ave # 118, Norfolk, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Gordon W Theisz. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1437101508. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 0101102617 | VA |