MR. LARRY HOWARD KAGAN (NPI# 1326052986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326052986 |
| Entity Type | Individual |
| Full Name | MR. LARRY HOWARD KAGAN |
| Other Name | MRS. KIMBERLEY KOONS WOLOSHIN |
| Credential | MD |
| Practice Address |
1016 Justis St Chesapeake VA 23325 |
| Practice Telephone | 7574208297 |
| Practice Fax Number | 7575235639 |
| Mailing Telephone | 7574208297 |
| Mailing Fax Number | 7575235639 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101032171 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5619165 | 05 | |
| ANTHEM | 011785 | 01 | |
| SENTARA | 11018 | 01 |
| Street Address |
1016 JUSTIS ST |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629155122 | Indian River Family Practice PC | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-11-01 |
| 1396755948 | Robert Bernard Laibstain | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-08-08 |
| 1689688244 | Elias Thomsa Freeman IIi | Family Medicine | 1016 Justis St, Chesapeake, VA 23325-2516 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165532 | Ife Michelle Milligan | Social Worker | 1509 Oleander Ave, Chesapeake, VA 23325 | 2020-02-05 |
| 1558722256 | Denise Simpson | Social Worker | 3004 Elbyrne Drive, Chesapeake, VA 23325 | 2016-03-09 |
| 1124195813 | Cecil J Carroll | Dentist | 4310 Indian River Road, Ste 1, Chesapeake, VA 23325 | 2006-11-29 |
| 1790870665 | Joy Marie Cocchiola | Dentist | 931 Providence Road, Chesapeake, VA 23325 | 2006-10-04 |
| 1396836383 | Ff Acquisition LLC | Durable Medical Equipment & Medical Supplies | 211 15 Providence Rd, Chesapeake, VA 23325 | 2006-09-27 |
| 1316476773 | Evelyn Lorraine Dickson | Driver | 2116 Allison Dr, Chesapeake, VA 23325 | 2017-06-08 |
| 1649318247 | Michael Dale Turck | Dentist | 931 Providence Rd, Chesapeake, VA 23325-0931 | 2007-02-03 |
| 1689207599 | 3 Keys Counseling & Consulting, LLC | Clinic/Center | 3810 Indian River Rd Unit 13074, Chesapeake, VA 23325-1202 | 2020-02-19 |
| 1790113470 | Takiya Tarlton | Counselor | 3810 Indian River Rd., #13074, Chesapeake, VA 23325-1831 | 2013-10-16 |
| 1811542731 | Kendra Kay Lapointe | Day Training/Habilitation Specialist | 621 Sparrow Rd, Chesapeake, VA 23325-2504 | 2019-08-07 |
| Find all providers in zip 23325 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1578958211 | Angel Miller | Family Medicine | 1405 Kempsville Rd, Chesapeake, VA 23320 | 2015-03-31 |
| 1114339611 | Jodi A Newcombe | Family Medicine | 725 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1621 | 2014-06-02 |
| 1306257043 | Marvyn Grayson II | Family Medicine | 1933 Edwin Dr Ste 208, Chesapeake, VA 23322-6531 | 2014-05-15 |
| 1154612778 | Ronald Curtis Galyon | Family Medicine | 637 Kingsborough Sq Ste F, Chesapeake, VA 23320-4944 | 2011-04-30 |
| 1083935209 | David J Zelinskas | Family Medicine | 1016 Justis St., Chesapeake, VA 23325-2516 | 2010-06-22 |
| 1912136946 | Ryan Eugene Light | Family Medicine | 1100 Volvo Pkwy, Suite 100, Chesapeake, VA 23320-3341 | 2009-07-13 |
| 1700030848 | Glenn Barron Cheshire | Family Medicine | 1218 Lilac Ave, Chesapeake, VA 23325-2920 | 2008-11-14 |
| 1124279435 | Patient First Richmond Medical Group Pllc | Family Medicine | 2425 Taylor Road, Chesapeake, VA 23321 | 2008-10-06 |
| 1275784555 | Jolson Korah Tharakan | Family Medicine | 648 Grassfield Pkwy, Suite 1, Chesapeake, VA 23322-7465 | 2008-10-06 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23325 |
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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.