DR. EDWARD S PAK (NPI# 1033275805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033275805 |
| Entity Type | Individual |
| Full Name | DR. EDWARD S PAK |
| Credential | DO |
| Practice Address |
12200 Warwick Blvd Ste 290 Newport News VA 23601 |
| Mailing Address |
115 Andrew Lindsey Williamsburg VA 23185-8935 |
| Practice Telephone | 7575345454 |
| Practice Fax Number | 7575345491 |
| Mailing Telephone | 7576468153 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0102201078 | VT | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
650 | SC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0102201078 | VA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
650 | SC | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
0102201078 | VA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
650 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 John Paul Jones Cir, Pulmonary Division, Portsmouth, VA 237082111 | 7579532075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353920 | Edward Pak | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-03-28 |
| 1538355904 | Edward Pak | Dentist | 5252 Orange Ave, Suite 110, Cypress, CA 90630-2967 | 2007-09-19 |
| Street Address |
12200 WARWICK BLVD STE 290 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851336341 | Thar Elbaage | Internal Medicine | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2006-06-18 |
| 1386294031 | Jennifer Alene Keith | Registered Nurse | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2019-09-16 |
| 1114575263 | Kathleen Foss Valdivieso | Nurse Practitioner | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2019-09-03 |
| 1861953291 | Jamie Marie Nagy | Physician Assistant | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2019-03-28 |
| 1174061030 | Kathryn E Edman | Nurse Practitioner | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2017-02-10 |
| 1164840765 | Paula Elizabeth Soergel | Nurse Practitioner | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2014-04-01 |
| 1134544695 | John Adrian Waite | Nurse Practitioner | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2014-02-20 |
| 1427329275 | Megan Osborne Brown | Physician Assistant | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2012-01-24 |
| 1275820664 | Oladunni Modinat Enilari | Internal Medicine | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2011-07-06 |
| 1073756227 | Kara Elizabeth Ward | Emergency Medicine | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2009-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601993 | Eric A Weiner | Internal Medicine | 12200 Warwick Blvd, Ste 290, Newport News, VA 23601-2548 | 2005-07-05 |
| 1699944314 | Amit Dahyabhai Patel | Internal Medicine | 11848 Rock Landing Dr Ste 402, Newport News, VA 23606-4425 | 2008-02-27 |
| 1235336777 | Kathleen Hollis Hammonds | Internal Medicine | 12200 Warwick Blvd, Suite 290, Newport News, VA 23601-2344 | 2007-06-28 |
| 1407957343 | Curtis Delp Givens Jr. | Internal Medicine | 12200 Warwick Blvd, Suite 290, Newport News, VA 23601-2344 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920205 | Katelynn Suzanne Doeppe | Internal Medicine | 1401 Johnstn Wllis Dr, North Chesterfield, VA 23235-4730 | 2020-10-20 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1417459058 | William A. Knaus | Internal Medicine | 1926 Lewis Mountain Rd, Charlottesville, VA 22903-2413 | 2018-02-28 |
| 1376043489 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave Ste 670, Norfolk, VA 23510-1065 | 2018-02-15 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1821474289 | Ravi Jagdish Patel | Internal Medicine | 6380 Homewood Cir, Roanoke, VA 24018-8308 | 2015-08-07 |
| 1538587761 | Gretchen Elder Brayman | Internal Medicine | 4000 Coliseum Dr Ste 320, Hampton, VA 23666-5983 | 2014-04-04 |
| 1235448911 | Anish S. Desai, Md, LLC | Internal Medicine | 8301 Arlington Blvd Ste T5, Fairfax, VA 22031-2904 | 2010-09-29 |
| 1982861795 | Yu Chi C Wang | Internal Medicine | 1625 N George Mason Dr Ste 355, Arlington, VA 22205-3690 | 2008-05-20 |
| 1134300148 | Arshan Beyzaei Arani | Internal Medicine | Commonwealth Critical Care 2501 Parkers Ln, Alexandria, VA 22334-4405 | 2007-11-19 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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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.