DR. KENNETH R LOVKO (NPI# 1124013412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124013412 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R LOVKO |
| Credential | MD |
| Practice Address |
3300 Academy Ave Academy Crossing Medical Plaza Portsmouth VA 23703-3205 |
| Practice Telephone | 7574836404 |
| Practice Fax Number | 7574830737 |
| Mailing Telephone | 7574836404 |
| Mailing Fax Number | 7574830737 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101031317 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 012091 | 01 |
| VA | SENTARA | 080710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568462422 | Kenneth L Lovko | Psychologist | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2005-07-21 |
| Street Address |
3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819234 | Velma A Bacak | Psychiatry & Neurology | 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 | 2005-08-24 |
| 1023623436 | Marla Jo Clancy | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2020-09-11 |
| 1598219214 | Angel Marie Williams-kent | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-08-10 |
| 1124473038 | Richardean Benjamin | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-04-28 |
| 1700208873 | Stacie Adrienne Wilson | Psychologist | 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 | 2014-01-09 |
| 1821421454 | Riverside Physician Services Inc | Psychologist | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2013-08-19 |
| 1568715613 | Melissa Gilbert Gomes | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2012-10-25 |
| 1558687954 | Tiffany Davis | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2010-04-12 |
| 1578728820 | Eileen P Pietila | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2008-07-26 |
| 1760412183 | Lana Tucker Williams | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2006-07-03 |
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|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295770063 | Sanghamitra Mishra Chowdhury | Psychiatry & Neurology | 825 Crawford Pkwy, Portsmouth, VA 23704-2301 | 2006-06-17 |
| 1720040959 | Jose A Gelpi | Psychiatry & Neurology | 825 Crawford Parkway, Portsmouth, VA 23704 | 2006-04-04 |
| 1104819234 | Velma A Bacak | Psychiatry & Neurology | 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 | 2005-08-24 |
| 1891004396 | Zenith Healthcare Systems, Inc. | Psychiatry & Neurology | 825 Crawford Pkwy, Portsmouth, VA 23704-2301 | 2010-09-30 |
| 1154441962 | Ellen King Schlefer | Psychiatry & Neurology | 20 Ladd St, Suite 403, Portsmouth, NH 03801-4087 | 2007-03-29 |
| 1205975315 | Ilene Beth Spitzer | Psychiatry & Neurology | 230 Lafayette Rd, Bdlg. C, Portsmouth, NH 03801-5465 | 2007-02-05 |
| 1477523256 | Steve Johnson Brasington | Psychiatry & Neurology | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 | 2006-01-25 |
| 1326028689 | Joseph B Clem | Psychiatry & Neurology | 620 John Paul Jones Cir, Naval Medical Center, Department of Psychiatry, Portsmouth, VA 23708-2111 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
| 1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
| 1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
| 1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
| 1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
| 1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.