DR. MARK E SHAVES (NPI# 1447227764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447227764 |
| Entity Type | Individual |
| Full Name | DR. MARK E SHAVES |
| Credential | MD |
| Practice Address |
600 Gresham Dr Norfolk VA 23507-1904 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7578833483 |
| Practice Fax Number | 7576270334 |
| Mailing Telephone | 7578833483 |
| Mailing Fax Number | 7576270334 |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2009-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101047236 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS | 0517L | 01 |
| VA | CIGNA | PAR | 01 |
| VA | TRICARE | PAR | 01 |
| NC | 890517L | 05 | |
| VA | FIRST HEATLH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | PAR | 01 |
| VA | UHC/MAMSI | 2125434 | 01 |
| VA | ANTHEM | 394416 | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| VA | 005818206 | 05 | |
| VA | AETNA | PAR | 01 |
| VA | USA MANAGED CARE | PAR | 01 |
| VA | SENTARA | 13834 | 01 |
| VA | MULTIPLAN | PAR | 01 |
| VA | VIRGINIA PREMIER HEALTH | PAR | 01 |
| VA | VIRGINIA HEALTH NETWORK | PAR | 01 |
| Street Address |
600 GRESHAM DR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900515 | Alan C. Harris | Pathology | 600 Gresham Dr, Sentara Norfolk General Hospital Path Dept, Norfolk, VA 23507-1904 | 2005-05-27 |
| 1144834193 | Ana Rosa Vilela Sangay | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-09-06 |
| 1396357901 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-08-17 |
| 1912515610 | Ashley Conner Hihn | Nurse Practitioner | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-07-19 |
| 1396353181 | Levan Gakhokidze | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-07-17 |
| 1841816022 | Melissa Marie Davis | Nurse Practitioner | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-06-23 |
| 1801417506 | Patricia Dickerson | Respiratory Therapist, Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-05-04 |
| 1871112862 | Larry Michael Newton Jr. | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-04-10 |
| 1710516000 | Emily Carbaugh | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-04-07 |
| 1700415254 | Lexie Elizabeth Neubauer | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174693063 | Andrew Stuart Camarata | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2006-11-08 |
| 1447216866 | David M. Randolph | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2006-04-25 |
| 1134126220 | Bradley Robert Prestidge | Radiology | 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4629 | 2005-07-05 |
| 1073955001 | Bon Secours Depaul Medical Center Inc | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2013-07-18 |
| 1750510236 | Edwin Fulghum Crandley | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-07-06 |
| 1023242583 | Hadi Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2009-05-12 |
| 1639311632 | Erik Karl Lappinen | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-04-06 |
| 1881848091 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2008-11-14 |
| 1225282569 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2008-11-13 |
| 1336354745 | Lara P Bonner Millar | Radiology | 600 Gresham Dr, Radiation Oncology, Norfolk, VA 23507-1904 | 2007-05-11 |
| 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.