Provider Demographics
NPI:1174608053
Name:ARMSTRONG, MICHAEL JR (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:ARMSTRONG
Suffix:JR
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 1:8700 STONY POINT PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1968
Mailing Address - Country:US
Mailing Address - Phone:804-330-5501
Mailing Address - Fax:804-272-4504
Practice Address - Street 1:8700 STONY POINT PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1962
Practice Address - Country:US
Practice Address - Phone:804-330-5501
Practice Address - Fax:804-272-4504
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052066207YP0228X, 207YX0602X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006501427Medicaid
VA542010397OtherCORPORATE T.I.N.
VA542010397OtherCARENET
VA1045683OtherAETNA
VA542010397OtherSOUTHERN HEALTH
VA542010397OtherTRICARE
VA337696OtherANTHEM
VA040015862Medicare ID - Type UnspecifiedRAILROAD MEDICARE
VA542010397OtherCORPORATE T.I.N.