KENNETH PAUL MORITSUGU (NPI# 1104104611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104104611 |
| Entity Type | Individual |
| Full Name | KENNETH PAUL MORITSUGU |
| Credential | MD, MPH |
| Practice Address |
9561 Bell Dr Great Falls VA 22066-3723 |
| Practice Telephone | 4087261014 |
| Mailing Telephone | 4087261014 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
D0027957 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
9561 BELL DR |
| City | GREAT FALLS |
| State | VA |
| Zip Code | 22066-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291256 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1020 Seneca Road, Great Falls, VA 22066 | 2018-07-10 |
| 1427408020 | Brightview Great Falls, LLC | Alzheimer Center (Dementia Center) | 10200 Colvin Run Road, Great Falls, VA 22066 | 2016-06-15 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1114214582 | Sarah E Bellman | Physical Therapist | 766 Walker Rd Ste B, Great Falls, VA 22066 | 2011-07-06 |
| 1700178316 | Farzad Davoudian | Psychiatry & Neurology | 1025 Riva Ridge Dr, Great Falls, VA 22066 | 2011-05-15 |
| 1407162019 | William E Bylund | Emergency Medicine | 327 Canterwood Ln, Great Falls, VA 22066 | 2010-08-20 |
| 1043465974 | Austin Leigh Giunta Churchill | Physical Medicine & Rehabilitation | 746 Walker Rd Ste 12, Great Falls, VA 22066 | 2008-11-19 |
| 1295906766 | Hwi Y Suh | Psychiatry & Neurology | 9811 Thunderhill Ct, Great Falls, VA 22066 | 2008-03-12 |
| 1033244249 | Nahid Ghassemi | Nursing Facility/Intermediate Care Facility | 10130b Colvin Run Rd., Great Falls, VA 22066 | 2007-02-21 |
| 1972608578 | Debra Anne Zeh | Pediatrics | 10134 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| Find all providers in zip 22066 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792403 | Elaine Stanek Perry | Preventive Medicine | 45201 Research Pl Ste 120, Ashburn, VA 20147-2416 | 2020-02-19 |
| 1629546379 | Chang-i Wu | Preventive Medicine | 1530 Clarendon Blvd Apt 700, Arlington, VA 22209-4315 | 2018-11-09 |
| 1922541523 | Gregory Burkhart | Preventive Medicine | 12224 Quorn Ln, Reston, VA 20191-2635 | 2016-11-30 |
| 1114380359 | Sean C Mabey | Preventive Medicine | 2608 Nestlebrook Trl, Virginia Beach, VA 23456-8201 | 2016-04-04 |
| 1407269723 | Kim Xuan Luk | Preventive Medicine | 4480 King St Fl 3, Alexandria, VA 22302-1300 | 2014-06-04 |
| 1225458581 | Barbara Louise Johnson | Preventive Medicine | 412 W Stuart Dr, Galax, VA 24333-2737 | 2014-04-24 |
| 1811313943 | Passport Health Holdings, LLC. | Preventive Medicine | 2812 Emerywood Parkway, #160, Richmond, VA 23294 | 2014-03-13 |
| 1518397405 | Passport Health Holdings LLC | Preventive Medicine | 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 | 2013-11-14 |
| 1679827687 | James J James | Preventive Medicine | 16422 Wanderers Port Lane, Onancock, VA 23417 | 2012-10-30 |
| 1851667091 | Robert Peter Kadlec | Preventive Medicine | 2209 Traies Ct, Alexandria, VA 22306-2564 | 2012-03-31 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 22066 |
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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.