PAUL JEROME KOVALCIK


Address: 3105 American Legion Road, Suite A, Chesapeake, VA 23321-5653
Phone: 7576862687

PAUL JEROME KOVALCIK (NPI# 1356311286) 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) 1356311286
Entity Type Individual
Full Name PAUL JEROME KOVALCIK
Credential MD
Practice Address 3105 American Legion Road
Suite A
Chesapeake
VA 23321-5653
Practice Telephone 7576862687
Practice Fax Number 7574841682
Mailing Telephone 7576862687
Mailing Fax Number 7574841682
Enumeration Date 2006-01-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 0101032355 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 5834961 05

Office Location

Street Address 3105 AMERICAN LEGION ROAD
SUITE A
City CHESAPEAKE
State VA
Zip Code 23321-5653

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215538475 Yvonne Cotton Social Worker 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 2020-11-04
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1497382337 Diversified Transportation Solutions Meals 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 2020-03-23
1952895344 Jasmine Wilkins Private Vehicle 4112 Jennifer Cres, Chesapeake, VA 23321 2018-06-19
1891219804 P & S Home Health Care Solutions Home Health 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 2017-08-01
1316467145 Chelsea Ellison Occupational Therapist 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 2017-06-22
1932655313 Bhg Xli, LLC Clinic/Center 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 2016-08-26
1891189429 Kelly C Diguilio Social Worker 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 2015-03-20
1447665336 Clancey Page Behavioral Analyst 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 2014-06-30
1558786228 Mary Elizabeth Whitley Home Health Aide 3933 Galleon Dr., Chesapeake, VA 23321 2014-03-04
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326222779 Brian Seth Buchberg Colon & Rectal Surgery 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 2007-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073809281 Mercy Danielle Wagner Colon & Rectal Surgery 260 John Paul Jones Cir, Portsmouth, VA 23708 2011-06-26
1497818025 Chong S. Lee Colon & Rectal Surgery 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 2006-12-18
1427169507 Fairfax Colon & Rectal Surgery, PC Colon & Rectal Surgery 2710 Propersity Ave, Ste 200, Fairfax, VA 22031 2006-08-31
1710918438 Northern Virginia Surgical Group, PC Colon & Rectal Surgery 8316 Arlington Blvd., Suite 630, Fairfax, VA 22031-5216 2006-07-05
1720052285 Gregory P Fitzharris Colon & Rectal Surgery 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 2006-02-13
1396725636 Beth Rachelle Jaklic Colon & Rectal Surgery 1301 First Colonial Rd Ste 201, Virginia Beach, VA 23454-2263 2006-01-20
1174525869 Othon Wiltz Colon & Rectal Surgery 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033-1761 2005-08-11
1598107674 Virginia Hospital Center Physician Group, LLC Colon & Rectal Surgery 1625 N George Mason Dr, Suite 454, Arlington, VA 22205-3683 2013-07-18
1497092944 Christina Cheng Colon & Rectal Surgery 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 2013-01-03
1063733350 Terry Paul Nickerson Colon & Rectal Surgery 3 Riverside Cir, Roanoke, VA 24016-4955 2010-06-21
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Competitor

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City CHESAPEAKE
Zip Code 23321

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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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