WEIGHT LOSS SURGERY CENTER (NPI# 1245394394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245394394 |
| Entity Type | Organization |
| Organization Name | WEIGHT LOSS SURGERY CENTER |
| Practice Address |
645 J Clyde Morris Blvd Newport News VA 23601-1819 |
| Practice Telephone | 7575919572 |
| Practice Fax Number | 7575919606 |
| Mailing Telephone | 7575919572 |
| Mailing Fax Number | 7575919606 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHAWN JOYNER (OFFICE MANAGER) |
| Authorized Official Telephone | 7575919572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101236493 | VA | Other Service Providers |
| Y | 174400000X | Specialist | 0101050712 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM DR. TERRACINA | 138438 | 01 |
| VA | ANTHEM DR. THOMAS CLARK | 453810 | 01 |
| VA | 7312059 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WEIGHT LOSS SURGERY CENTER OF HAMPTON ROADS P.C. | 137 Thomas Dale, Williamsburg, Virginia 23185 |
| Street Address |
645 J CLYDE MORRIS BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255494183 | Thomas W Clark | Specialist | 645 J Clyde Morris Blvd, Newport News, VA 23601-1819 | 2006-12-19 |
| 1497053557 | Center for Weight Loss Success, P.C. | Surgery | 645 J Clyde Morris Blvd, Newport News, VA 23601-1819 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
| 1295142164 | Miranda Galliani | Specialist | 1619 Winthrope Dr, Newport News, VA 23602-9638 | 2014-07-12 |
| 1043579659 | Frank A Schuler IIi Md PC | Specialist | 11803 Jefferson Ave Ste 250, Newport News, VA 23606-4800 | 2012-05-16 |
| 1619261633 | Pmr Meds | Specialist | 48 Newmarket Square, Newport News, VA 23605 | 2011-06-07 |
| 1922305234 | Sandra Lee-henley | Specialist | 12255 Hornsby Ln, Newport News, VA 23602-6987 | 2011-02-23 |
| 1376673103 | Nicholas A Smerlis | Specialist | 860 Omni Blvd Ste 113, Newport News, VA 23606-4430 | 2007-03-07 |
| 1174687131 | Dewey Steele | Specialist | 12720 Mcmanus Blvd Ste 305, Newport News, VA 23602-4414 | 2006-12-21 |
| 1255494183 | Thomas W Clark | Specialist | 645 J Clyde Morris Blvd, Newport News, VA 23601-1819 | 2006-12-19 |
| 1508947342 | Peninsula Cancer Institute, LLC | Specialist | 12100 Warwick Blvd., Suite 201, Newport News, VA 23601-2365 | 2006-10-18 |
| 1013008309 | Peninsula Neurology Ltd | Specialist | 802 Lockwood Ave Ste A, Newport News, VA 23602-4479 | 2006-09-28 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
Please comment or provide details below to improve the information on WEIGHT LOSS SURGERY CENTER.
| 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.