JASON BAVARIAN (NPI# 1518344530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518344530 |
| Entity Type | Individual |
| Full Name | JASON BAVARIAN |
| Credential | DO |
| Practice Address |
2 Bernardine Dr Newport News VA 23602-4404 |
| Mailing Address |
28050 Grand River Ave Farmington Hills MI 48336-5919 |
| Practice Telephone | 7578866000 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0102205538 | VA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 5101021540 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Bernardine Dr, Newport News, VA 236024404 | 7578866000 | |
| 28050 Grand River Ave, Farmington Hills, MI 483365919 | 2484718000 |
| Street Address |
2 BERNARDINE DR |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955204 | Ruth H. Innes | Family Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2005-07-14 |
| 1194355214 | Eliezer Dulay Urbano | Clinical Nurse Specialist | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2020-01-16 |
| 1639631849 | Pamela Vancott | Pharmacist | 2 Bernardine Dr, Newport News, VA 23602-4499 | 2019-04-05 |
| 1487116455 | Katherine Nicole Hill Sheppard | Registered Nurse | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2019-04-01 |
| 1053825760 | Anna Marie Rhodes | Specialist/Technologist, Other | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2017-11-17 |
| 1023546256 | Samuel Kyle Holloway | Physician Assistant | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2017-06-01 |
| 1114470853 | Lauren N Sharpe-payne | Speech-Language Pathologist | 2 Bernardine Dr, Newport News, VA 23602 | 2016-07-29 |
| 1538535463 | Mary Immaculate Hospital LLC | General Acute Care Hospital | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2015-08-14 |
| 1760878078 | Catherine Shany Agustiady-becker | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602 | 2015-04-13 |
| 1326432899 | Lindsey Belk Williams | Anesthesiology | 2 Bernardine Dr, Newport News, VA 23602-4499 | 2015-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045790 | Adrian Dews Sr. | Emergency Medicine | 2 Bernadine Drive, Emergency Dept, Newport News, VA 23602-4499 | 2009-07-02 |
| 1881636702 | Timothy W Hutchison | Emergency Medicine | 12720 Mcmanus Blvd Ste 204, Newport News, VA 23602-4486 | 2006-06-12 |
| 1942257621 | Fairleigh David Small | Emergency Medicine | 12420 Warwick Blvd Ste 5b, Newport News, VA 23606-3053 | 2006-05-28 |
| 1902882111 | Alan D Creek | Emergency Medicine | 12997 Warwick Blvd, Newport News, VA 23602-8352 | 2005-12-20 |
| 1760878078 | Catherine Shany Agustiady-becker | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602 | 2015-04-13 |
| 1841604626 | Kylie Conroy | Emergency Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2014-06-19 |
| 1598178675 | Timothy Shane Forsythe | Emergency Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601 | 2014-06-06 |
| 1205255015 | Amanda Gail Polsinelli | Emergency Medicine | 500 J Clyde Morris Blvd Ste A, Newport News, VA 23601 | 2014-04-08 |
| 1831537182 | Daniel Ryan Micheller | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2013-06-10 |
| 1457693509 | Hampton Roads Emergency Physicians Pllc | Emergency Medicine | 2 Bernardine Dr, Suite 204, Newport News, VA 23602-4404 | 2013-03-26 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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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.