Individual provider · Type 1 NPI
Jonathan L. Halbach, DO
Pediatric Surgery Physician · Portsmouth, VA
NPI number
1104150804
Active
Practice location
Nmrtc Portsmouth, 620 John Paul Jones Circle
Portsmouth, VA 23708
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Other practice locations
- 1250 E Marshall St, Richmond, VA 23298-5023 · (804) 828-3500
- 1000 E Broad St, Richmond, VA 23219-1930 · (804) 828-3500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 0102207283 (VA) |
| Pediatric Surgery Physician Primary | 2086S0120X | 0102207283 (VA) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
4 other providers at this address
About NPI 1104150804
Jonathan L. Halbach, DO's National Provider Identifier is 1104150804, issued on Sep 28, 2009. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 21, 2025.