Bluestone Physician Services Southeast LLC
NPI 1255945739ActiveOrganization· Family Medicine· Norfolk, VA
Family Medicine in Norfolk, Virginia, registered in NPPES in September 2020. The authorized official on file is Tim Koehler, Coo.
Overview
| NPI | 1255945739 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2020 |
| Last updated in NPPES | Oct 22, 2020 |
| Certified by provider | Oct 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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