Old, Wayne David
Old, Wayne David is an individual health care provider with primary practice located at 612 Kingsborough Sq Suite 100, Chesapeake VA 23320-5041. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Old, Wayne David can be contacted via phone (757) 547-9294.Contact Information
Primary practice address
612 Kingsborough Sq Suite 100
Chesapeake VA 23320-5041
Phone: (757) 547-9294
Fax: (757) 213-9374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101035590 | Virginia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0101035590 | Virginia |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 0101035591 | Virginia |
Profile Details
| NPI number | 1336115799 |
|---|---|
| LBN Legal business name | Old, Wayne David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Sep 30th, 2026 - about last week |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336115799 | NPPES |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | Other | 250366 | MULTIPLAN |
| Virginia | Other | 15071 | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | Other | 75288 | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | Other | -001 | MULTIPLAN |
| Virginia | MEDICAID | 006010393 | MULTIPLAN |
| Virginia | MEDICAID | 006059066 | MULTIPLAN |
| Virginia | Other | 263654 | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | MEDICAID | 890570R | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | Other | 0570R | MULTIPLAN |
| Virginia | Other | 259544 | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
| Virginia | Other | PAR | MULTIPLAN |
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