PENINSULA NEUROLOGY LTD (NPI# 1013008309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013008309 |
| Entity Type | Organization |
| Organization Name | PENINSULA NEUROLOGY LTD |
| Practice Address |
802 Lockwood Ave Ste A Newport News VA 23602-4479 |
| Practice Telephone | 7578729797 |
| Practice Fax Number | 7578729711 |
| Mailing Telephone | 7578729797 |
| Mailing Fax Number | 7578729711 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | DR. RAJINDER P SINGH (OWNER) |
| Authorized Official Telephone | 7578729797 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101041732 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | 130019108 | 01 |
| VA | ANTHEM | 465662 | 01 |
| VA | 010006279 | 05 | |
| VA | RAILROAD MEDICARE | P00205034 | 01 |
| VA | ANTHEM | 394415 | 01 |
| VA | 7116497 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PENINSULA NEUROLOGY LTD. | 802 Lockwood Avenue, Suite A, Newport News, Virginia 23602 |
| Street Address |
802 LOCKWOOD AVE STE A |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
| 1295142164 | Miranda Galliani | Specialist | 1619 Winthrope Dr, Newport News, VA 23602-9638 | 2014-07-12 |
| 1043579659 | Frank A Schuler IIi Md PC | Specialist | 11803 Jefferson Ave Ste 250, Newport News, VA 23606-4800 | 2012-05-16 |
| 1619261633 | Pmr Meds | Specialist | 48 Newmarket Square, Newport News, VA 23605 | 2011-06-07 |
| 1922305234 | Sandra Lee-henley | Specialist | 12255 Hornsby Ln, Newport News, VA 23602-6987 | 2011-02-23 |
| 1376673103 | Nicholas A Smerlis | Specialist | 860 Omni Blvd Ste 113, Newport News, VA 23606-4430 | 2007-03-07 |
| 1174687131 | Dewey Steele | Specialist | 12720 Mcmanus Blvd Ste 305, Newport News, VA 23602-4414 | 2006-12-21 |
| 1255494183 | Thomas W Clark | Specialist | 645 J Clyde Morris Blvd, Newport News, VA 23601-1819 | 2006-12-19 |
| 1508947342 | Peninsula Cancer Institute, LLC | Specialist | 12100 Warwick Blvd., Suite 201, Newport News, VA 23601-2365 | 2006-10-18 |
| 1851390660 | Jennifer M Ragi | Specialist | 11844 Rock Landing Dr, Suite B, Newport News, VA 23606 | 2005-07-14 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
Please comment or provide details below to improve the information on PENINSULA NEUROLOGY LTD.
| 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.