MR. HERSHEL MACK (NPI# 1245887835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245887835 |
Entity Type | Individual |
Full Name | MR. HERSHEL MACK |
Credential | ATC |
Practice Address |
885 Schumann Dr Virginia Beach VA 23454-6878 |
Mailing Address |
1629 Mantane Arch Virginia Beach VA 23454-6821 |
Practice Telephone | 7577081621 |
Mailing Telephone | 7574776812 |
Enumeration Date | 2019-08-20 |
Last Update Date | 2019-08-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126001007 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
885 SCHUMANN DR |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23454-6878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
Find all providers in zip 23454 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245853720 | Avery Rodriguez | Specialist/Technologist | 735 Goodard Dr, Virginia Beach, VA 23454-6868 | 2020-05-19 |
1154943215 | Abrianna M D'onofrio | Specialist/Technologist | 5817 Wesleyan Dr, Virginia Beach, VA 23455-4637 | 2020-05-12 |
1659909695 | Bruce Michael Lawlor | Specialist/Technologist | 3100 Shore Dr Apt 841, Virginia Beach, VA 23451-7318 | 2020-03-27 |
1225670011 | Heather Farrow | Specialist/Technologist | 1832 Chelsea Green Dr, Virginia Beach, VA 23456-5304 | 2019-10-13 |
1528609013 | Mikayla Corin Talak | Specialist/Technologist | 1904 English Oak Ct, Virginia Beach, VA 23453-7088 | 2019-10-05 |
1265082903 | Bridget Lee | Specialist/Technologist | 2204 Recreation Dr, Virginia Beach, VA 23456-6178 | 2019-09-15 |
1982178349 | Dennis Fitzpatrick | Specialist/Technologist | 5441 Nature Ln, Virginia Beach, VA 23455-2164 | 2019-01-17 |
1366916348 | Robyn Toran | Specialist/Technologist | 1465 Thamesford Dr, Virginia Beach, VA 23464-8640 | 2019-01-14 |
1053801845 | Kristen Dawson | Specialist/Technologist | 2928 Wilcox Dr, Virginia Beach, VA 23456-2490 | 2018-05-16 |
1114427416 | Jennifer Lee Eda | Specialist/Technologist | 4740 Boxford Rd, Virginia Beach, VA 23456-5007 | 2018-02-14 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23454 |
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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.