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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
EVMS Medical Group | Doing Business As Name - Organization |
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 |
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 |
Street Address |
1950 GLENN MITCHELL DR SUITE 208 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23456-0019 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 23456 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23456 |
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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.