DR. LEILA OLIVIA GINO-GINO BUMANGLAG (NPI# 1396177713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396177713 |
| Entity Type | Individual |
| Full Name | DR. LEILA OLIVIA GINO-GINO BUMANGLAG |
| Other Name | DR. LEILA OLIVIA DE LOS REYES GINO-GINO |
| Credential | M.D. |
| Practice Address |
155 Kingsley Ln Suite 400 Norfolk VA 23505-4629 |
| Practice Telephone | 7572782240 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101258758 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
155 KINGSLEY LN SUITE 400 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126220 | Bradley Robert Prestidge | Radiology | 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4629 | 2005-07-05 |
| 1285126219 | Yolanda Brooks | Nurse Practitioner | 155 Kingsley Ln, Norfolk, VA 23505-4629 | 2018-06-05 |
| 1376992636 | Maryview Hospital | Internal Medicine | 155 Kingsley Ln, Suite 150, Norfolk, VA 23505-4629 | 2016-06-08 |
| 1083094718 | Jennifer Evans | Nurse Practitioner | 155 Kingsley Ln, Suite 400, Norfolk, VA 23505-4629 | 2015-06-08 |
| 1922218965 | Elizabeth Zarkin Barrett | Surgery | 155 Kingsley Ln, Suite 405, Norfolk, VA 23505-4629 | 2007-05-22 |
| 1588707103 | Yassar K Youssef | Surgery | 155 Kingsley Ln, Ste 400, Norfolk, VA 23505-4629 | 2007-02-14 |
| 1033228671 | Gregory B Franz | Internal Medicine | 155 Kingsley Ln, Ste 150, Norfolk, VA 23505-4628 | 2006-08-29 |
| 1154377471 | Carol Ann Ascher | Nurse Practitioner | 155 Kingsley Ln, Suite 405, Norfolk, VA 23505-4629 | 2006-05-26 |
| 1225083538 | Riverpoint Psychiatric Assocs Inc | Social Worker | 155 Kingsley Ln, Suite 320, Norfolk, VA 23505-4629 | 2006-05-24 |
| 1104881002 | Jacob W. Miller | Family Medicine | 155 Kingsley Ln, Suite 400, Norfolk, VA 23505-4629 | 2006-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549779 | Cleanslate Medical Group of Virginia, LLC | Internal Medicine | 160 Kingsley Ln Ste 303, Norfolk, VA 23505-4600 | 2018-12-16 |
| 1548756372 | Arfa Ahmad | Internal Medicine | 601 Pembroke Ave Apt 502, Norfolk, VA 23507-2050 | 2018-07-04 |
| 1124517966 | Shawn Steven Sell | Internal Medicine | 600 Gresham Dr Fl 2, Norfolk, VA 23507-1904 | 2018-05-08 |
| 1760912968 | Dipan Oza | Internal Medicine | 358 Mowbray Arch Ste 203205, Norfolk, VA 23507-2219 | 2017-06-20 |
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1366837528 | Ashleigh Long | Internal Medicine | Sentara Norfolk General Hospital, 600 Gresham Drive, Norfolk, VA 23507 | 2015-04-03 |
| 1366861148 | Chad Kloefkorn | Internal Medicine | 1706 Hampton Blvd Apt 2, Norfolk, VA 23517-1625 | 2014-04-09 |
| 1245679364 | David Amos | Internal Medicine | 825 Fairfax Ave Ste 429, Norfolk, VA 23507-1914 | 2013-06-21 |
| 1134482466 | Albert Cheung | Internal Medicine | 241 Corporate Blvd Ste 210, Norfolk, VA 23502-4965 | 2012-06-21 |
| 1154558997 | Priyanka Amit Patel | Internal Medicine | 6160 Kempsville Cir Ste 325, Norfolk, VA 23502-3933 | 2009-06-19 |
| Find all providers in NORFOLK | ||||
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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.