Provider Demographics
NPI:1538378708
Name:SHARPE AND ASSOCIATES, P.C.
Entity type:Organization
Organization Name:SHARPE AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:O
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-489-2273
Mailing Address - Street 1:160 KINGSLEY LN
Mailing Address - Street 2:504 DEPAUL ATRIUM BLDG
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-4600
Mailing Address - Country:US
Mailing Address - Phone:757-489-2273
Mailing Address - Fax:757-440-1620
Practice Address - Street 1:160 KINGSLEY LN
Practice Address - Street 2:504 DEPAUL ATRIUM BLDG
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4600
Practice Address - Country:US
Practice Address - Phone:757-489-2273
Practice Address - Fax:757-440-1620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA003576OtherBCBS VA
VA003576OtherBCBS VA