DR. RICHARD ZANETTI JR. (NPI# 1003101551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003101551 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ZANETTI JR. |
| Credential | MD |
| Practice Address |
633d Medical Group 77 Nealy Avenue Joint Base Langley-eustis VA 23665-2040 |
| Practice Telephone | 7572257630 |
| Mailing Telephone | 7572257630 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101252304 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
633D MEDICAL GROUP 77 NEALY AVENUE |
| City | JOINT BASE LANGLEY-EUSTIS |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688877 | James F Forrest | Optometrist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2005-09-06 |
| 1497213573 | Diana Elise Strain | Social Worker | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2019-03-07 |
| 1457865131 | Mary Iskarous | Psychologist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2017-11-17 |
| 1295112977 | Nicholas William Deangelis | Pediatrics | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2015-04-30 |
| 1366839961 | Brent Sager | Obstetrics & Gynecology | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2015-04-21 |
| 1326459652 | Keith Duron | Dental Hygienist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2014-05-08 |
| 1578998522 | Kristen Ashley Block | Physician Assistant | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2013-09-10 |
| 1336486992 | William F Wolfe | Nurse Anesthetist, Certified Registered | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2013-01-15 |
| 1659638575 | Adam Labree Bourgon | Surgery | 633d Medical Group, 77 Nealy Ave, Joint Base Langley-eustis, VA 23665-2040 | 2012-04-17 |
| 1629398565 | Jeffrey Roger Herchler | Physician Assistant | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2010-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112977 | Nicholas William Deangelis | Pediatrics | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2015-04-30 |
| 1639230006 | Sean Lee Murphy | Pediatrics | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2006-12-12 |
| 1285654798 | Dominic Anthony Defrancis | Pediatrics | 77 Nealy Ave, Joint Base Langley-eustis, VA 23665 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1134738602 | Lolita Lopez | Pediatrics | 43547 Freeport Pl, Sterling, VA 20166-2160 | 2020-07-30 |
| 1184252330 | Arlene Marie Lorica | Pediatrics | 7902 Tysons One Pl Unit 2613, Mc Lean, VA 22102-5239 | 2020-03-31 |
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1649817636 | Susan Jane Argyle | Pediatrics | 7501 Little River Tpke Ste 202, Annandale, VA 22003-2923 | 2019-12-09 |
| 1003477621 | Deborah Williams Ward | Pediatrics | 1810 Plain View Rd, Henrico, VA 23238-4152 | 2019-06-25 |
| 1467012120 | Keith Henry | Pediatrics | 23458 Cool Water Dr, Ruther Glen, VA 22546-3325 | 2019-06-15 |
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| City | JOINT BASE LANGLEY-EUSTIS |
| Zip Code | 23665 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.