EXECUTIVE HEALTH CARE PC (NPI# 1467662197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467662197 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE HEALTH CARE PC |
| Practice Address |
4867 Baxter Rd Suite 105 Virginia Beach VA 23462-4469 |
| Practice Telephone | 7574739300 |
| Practice Fax Number | 7574739361 |
| Mailing Telephone | 7574739300 |
| Mailing Fax Number | 7574739361 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | DR. KAMAL SELIM LOUKA II (PRESIDENT) |
| Authorized Official Telephone | 7574739300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101036392 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4867 BAXTER RD SUITE 105 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129810 | Thomas Raymond Skelton | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2005-07-26 |
| 1063880771 | Atlantic Family Dentistry Pllc. | Dentist | 4867 Baxter Rd, Suite #101, Virginia Beach, VA 23462-4469 | 2015-09-11 |
| 1407992423 | Jay Bradley Berkowitz | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2007-01-29 |
| 1225189665 | Dale Larrie Mallory | Dentist | 4867 Baxter Rd, Suite 101, Virginia Beach, VA 23462-4469 | 2007-01-14 |
| 1790844900 | Dr Jay B Berkowitz Dc PC | Clinic/Center | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2006-12-06 |
| 1356387013 | Elliot David Sherman | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2006-06-21 |
| 1417900119 | Kamal Selim Louka | Family Medicine | 4867 Baxter Rd, Suite 105, Virginia Beach, VA 23462-4469 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1699236026 | Helen Everett Frankos | Family Medicine | 748 Sequoia Way, Virginia Beach, VA 23451-4472 | 2019-03-28 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1538699038 | Promethean Group | Family Medicine | 3920 Vanderhorst Dr, Virginia Beach, VA 23462-7531 | 2017-06-16 |
| 1407385172 | Ashley Watson | Family Medicine | 513 Boswell Ct, Virginia Beach, VA 23452-5857 | 2017-06-07 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| 1053754358 | Jonathan Gellman | Family Medicine | 1200 Lake James Dr, Suite 200, Virginia Beach, VA 23464-6773 | 2013-04-17 |
| 1003155045 | Accurate Medical PC | Family Medicine | 3312 Doncaster Rd, Virginia Beach, VA 23452-5920 | 2013-02-12 |
| 1740529072 | Dalene Cheek Evans | Family Medicine | 1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780 | 2013-02-06 |
| 1326334095 | Kari Ann Neamand Cheney | Family Medicine | 1035 Nider Blvd, St 100, Nmcp Branch Health Clinic Boone, Virginia Beach, VA 23459-2731 | 2011-06-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.