MALLORY MATHESON


Address: 5900 Lake Wright Dr, Norfolk, VA 23502-1871
Phone: 7574668683

MALLORY MATHESON (NPI# 1235765306) 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) 1235765306
Entity Type Individual
Full Name MALLORY MATHESON
Practice Address 5900 Lake Wright Dr
Norfolk
VA 23502-1871
Practice Telephone 7574668683
Mailing Telephone 7574668683
Enumeration Date 2020-03-20
Last Update Date 2020-08-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 5900 LAKE WRIGHT DR
City NORFOLK
State VA
Zip Code 23502-1871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841293966 Burton F Alexander IIi Specialist 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2005-05-23
1689293003 Joseph Fitzpatrick Doyle Genetic Counselor, MS 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2020-04-15
1194282483 Stacey Warburton Nurse Practitioner 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2019-02-22
1346637873 Karen Woodhouse Social Worker 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2015-04-22
1679965099 Kristen Rae Taylor Physician Assistant 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2015-02-22
1699165910 Juli M Phillips Nurse Practitioner 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2015-01-26
1881010528 Amanda M Becker Social Worker 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2014-03-05
1275961336 Ashley Maria Payne Martin Physician Assistant 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2013-10-28
1932532744 Tifany Lewis Genetic Counselor, MS 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2013-08-15
1063852598 Shanti S Powers Physician Assistant 5900 Lake Wright Dr, Norfolk, VA 23502-1871 2013-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295210706 Advantage Home Care, LLC Home Health 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 2018-10-01
1336627207 Sentara Medical Group Emergency Medicine 844 Kempsville Rd Ste 103, Norfolk, VA 23502 2018-08-02
1548753833 Murphy's Absolute Home Care LLC Home Health 983 Ingleside Rd Ste 6, Norfolk, VA 23502 2018-06-11
1487143939 Valerie Sowder Social Worker 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 2018-05-09
1164938841 Accupoint Diagnostics Clinical Medical Laboratory 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 2017-12-18
1467979351 Lakeshia Louise Perryman Counselor 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 2017-08-23
1841536125 Golden Touch Enterprise Durable Medical Equipment & Medical Supplies 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 2012-12-14
1497029011 Kristine B Rand Counselor 6325 N Center Dr Ste 208, Norfolk, VA 23502 2012-02-29
1427343706 Erica Leigh Streander Pharmacist 471 North Military Hwy, Norfolk, VA 23502 2011-06-14
1215239330 Atlantic Physical Therapy Specialist/Technologist 5610 Lewis Rd, Norfolk, VA 23502 2010-11-22
Find all providers in zip 23502

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770184434 Jacob Solomon Morrill Physician Assistant 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 2020-11-07
1558990291 Ellen Marie Pagliarulo Physician Assistant 21 Ridge Rd, Norfolk, MA 02056-1748 2020-04-04
1437785870 Marissa Knott Physician Assistant 7509 Honeysuckle Rd, Norfolk, VA 23518-4514 2020-03-17
1700428349 Sydney Charmagne Pawsey Physician Assistant 601 Pembroke Ave Apt 610, Norfolk, VA 23507-2051 2019-10-15
1831730944 Brittany Anne Porter Physician Assistant 1362 Virgilina Ave, Norfolk, VA 23503-2218 2019-10-01
1437626686 Kayla Sommers Physician Assistant 601 Childrens Ln Fl 2, Norfolk, VA 23507-1910 2018-10-25
1821573593 Giselle Castaneda De Guzman Physician Assistant 400 W Brambleton Ave Ste 104, Norfolk, VA 23510-1151 2018-09-28
1093297103 Nicole Marie Owens Physician Assistant 2701 W. Norfolk Ave, Norfolk, NE 68701 2018-09-05
1265925150 Emily Burke Physician Assistant 171 Kempsville Rd Ste 200, Norfolk, VA 23502-4700 2018-06-14
1124546163 Jonathan Joseph Daly Physician Assistant 171 Kempsville Rd Bldg A2nd, Norfolk, VA 23502-4700 2017-08-30
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23502

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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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