CHARLES SONSON (NPI# 1588803019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588803019 |
| Entity Type | Individual |
| Full Name | CHARLES SONSON |
| Practice Address |
3028 Travis Pond Rd Williamsburg VA 23185-7665 |
| Practice Telephone | 8049388168 |
| Mailing Telephone | 8049388168 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
T61-92-8270 | VA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
T61-92-8270 | VA | Dental Providers |
| Y | 305R00000X | Preferred Provider Organization | T61-92-8270 | VA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUECROSS BLUESHIELD | UAL000180405 | 01 |
| Street Address |
3028 TRAVIS POND RD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-7665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003381310 | Audrey R. Townes | Preferred Provider Organization | 837 Azalea Ave, Richmond, VA 23227-3512 | 2018-10-12 |
| 1043717457 | Chesapeake Family and Implant Dentistry LLC | Preferred Provider Organization | Chesapeake Family and Implant Dentistry, 516 Innovation Dr. Suite 302, Chesapeake, VA 23320 | 2018-04-11 |
| 1376078105 | Bella Family Home Health Care Inc | Preferred Provider Organization | 5827 Columbia Pike Ste 316, Falls Church, VA 22041-2036 | 2017-04-30 |
| 1245763366 | Living Made Easy | Preferred Provider Organization | 328 Peninsular St, Lynchburg, VA 24501-1420 | 2017-04-05 |
| 1225575830 | Gentle Touch Home Health Care | Preferred Provider Organization | 3421 Vimy Ridge Ave, Norfolk, VA 23509-2041 | 2017-01-22 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1962853036 | James D. Cahn, Dds, P.C. | Preferred Provider Organization | 5225 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2620 | 2016-06-29 |
| 1780045849 | Ideal Dental Care, Inc | Preferred Provider Organization | 8111 Midlothian Tpke, North Chesterfield, VA 23235-5115 | 2016-03-16 |
| 1063871309 | Childlike Faith Services, LLC | Preferred Provider Organization | 12417 Branner Way, 103, Chester, VA 23836-2807 | 2016-02-15 |
| 1366815532 | Graceful Hands | Preferred Provider Organization | 18874 Christanna Hwy, Lawrenceville, VA 23868-2603 | 2015-11-10 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
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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.