EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION


Address: 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019
Phone: 7576898139

EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (NPI# 1124272463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124272463
Entity Type Organization
Organization Name EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
Other Organization Name EVMS MEDICAL GROUP
Practice Address 1950 Glenn Mitchell Dr
Suite 208
Virginia Beach
VA 23456-0019
Mailing Address Po Box 936
Evms Medical Group
Norfolk
VA 23501-0936
Practice Telephone 7576898139
Practice Fax Number 7576893832
Mailing Telephone 7576898139
Mailing Fax Number 7576893832
Enumeration Date 2008-11-13
Last Update Date 2015-07-10
Authorized Official Name JAMES F LIND JR. (CEO)
Authorized Official Telephone 7574516200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
EVMS Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003887118 Evms Academic Physicians and Surgeons Health Services Foundation Dermatology 4111 Monarch Way, Suite 500, Norfolk, VA 23508-2559 2006-01-27
1518376086 Evms Academic Physicians and Surgeons Health Services Foundation Dermatology 721 Fairfax Ave, Suite 200, Norfolk, VA 23507-2007 2014-08-08
1740699735 Evms Academic Physicians and Surgeons Health Services Foundation Internal Medicine 301 Riverview Ave, Suite 670, Norfolk, VA 23510-1065 2014-08-05
1881848091 Evms Academic Physicians and Surgeons Health Services Foundation Radiology 600 Gresham Dr, Norfolk, VA 23507-1904 2008-11-14
1225282569 Evms Academic Physicians and Surgeons Health Services Foundation Radiology 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 2008-11-13
1023262367 Evms Academic Physicians and Surgeons Health Services Foundation Radiology 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 2008-11-13
1659385292 Evms Academic Physicians and Surgeons Health Services Foundation Clinical Medical Laboratory 721 Fairfax Ave, Norfolk, VA 23507-2007 2006-07-28

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities EVMS Academic Physicians and Surgeons Health Services Foundation 4111 Monarch Way, Suite 500, Norfolk, Virginia 23508

Office Location

Street Address 1950 GLENN MITCHELL DR
SUITE 208
City VIRGINIA BEACH
State VA
Zip Code 23456-0019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639179153 Bill Wayne Berry Jr. Otolaryngology 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 2005-07-27
1558782086 Megan Leser Nurse Practitioner 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 2013-12-31
1497183164 Virginia Oncology Associates Durable Medical Equipment & Medical Supplies 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 2013-10-16
1588942155 Frederick Bagares Physical Medicine & Rehabilitation 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 2011-07-29
1174822563 Sentara Medical Group Neurological Surgery 1950 Glenn Mitchell Dr, Ste 200, Virginia Beach, VA 23456-0019 2011-03-24
1629378823 Ashley Luna Childers Physician Assistant 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0048 2010-10-22
1073849758 Alyse Y Piper Physician Assistant 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 2009-10-30
1760635650 Ezmin George Internal Medicine 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 2008-10-23
1518117829 Sentara Medical Group Audiologist 1950 Glenn Mitchell Dr, Ste. 310b, Virginia Beach, VA 23456-0019 2008-09-23
1265617864 Sentara Medical Group Internal Medicine 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 2008-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336679349 Joelene Grandy Contractor 1892 Riverrock Arch, Virginia Beach, VA 23456 2017-06-13
1023568995 Red Mill Pediatric Dentistry and Behl Orthodontics Pllc Dentist 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 2016-10-04
1609235803 Maria Teresa Olivas Registered Nurse 3212 Fluuanna Circle, Virginia Beach, VA 23456 2016-02-16
1326434747 Catharine White Cartwright Physician Assistant 2501 James Madison Blvd, Virginia Beach, VA 23456 2015-04-13
1598153785 Harris Teeter LLC Pharmacy 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 2014-12-23
1881034023 Kimberly Ann Benson Dentist 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 2013-07-02
1124378450 Phyllis A. Wilson Psychologist 1249 Eagle Way, Virginia Beach, VA 23456 2012-09-13
1033477807 Wolfgang J. Bay Dentist 1625 Salem Road #101, Virginia Beach, VA 23456 2012-04-30
1881974475 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2232 General Booth Blvd, Virginia Beach, VA 23456 2011-08-26
1780988857 Casey Snyder Dentist 2484 North Landing Road, Virginia Beach, VA 23456 2011-01-05
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396007787 Tara S Buehler-bota Dermatology 1248 Perimeter Pkwy Ste 482, Virginia Beach, VA 23454-5914 2012-06-12
1730405879 Coastal Dermatology P.C. Dermatology 3176 Holland Rd., 103, Virginia Beach, VA 23453 2010-04-14
1154652345 Jennifer Lynn Pike Dermatology 1200 First Colonial Rd Ste 200m, Virginia Beach, VA 23454-2207 2010-01-27
1386786697 Kimberly Ingram Soderberg Dermatology 3176 Holland Rd, Suite 103, Virginia Beach, VA 23453-2637 2007-02-13
1295810398 Ken J Tompkins Md PC Dermatology 1157 First Colonial Road, Suite 300, Virginia Beach, VA 23454 2006-10-26
1366550196 Beatrix K Edmonds Dermatology 5249 Providence Road, Virginia Beach, VA 23464-4201 2006-08-29
1659313773 Laser Skin & Vein Center of Virginia Dermatology 933 First Colonial Road S, 113, Virginia Beach, VA 23454 2006-06-12
1356309736 Kenneth J Tompkins Dermatology 1157 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2432 2006-05-03
1558333658 Michele Jane Gonzalez Dermatology Atlantic Dermatology Associates, 1101 First Colonial Rd., Suite 200, Virginia Beach, VA 23454-2409 2006-02-02
1487630653 Jonathan Lee Hindman Dermatology 1101 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 2005-12-20
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Competitor

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City VIRGINIA BEACH
Zip Code 23456

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Dataset Information

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.

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