KURT A. MCCAMMON (NPI# 1598743692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598743692 |
| Entity Type | Individual |
| Full Name | KURT A. MCCAMMON |
| Credential | M.D. |
| Practice Address |
225 Clearfield Ave Virginia Beach VA 23462-1815 |
| Practice Telephone | 7574575110 |
| Practice Fax Number | 7574663411 |
| Mailing Telephone | 7574575110 |
| Mailing Fax Number | 7574663411 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2016-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 0101057382 | VA | Allopathic & Osteopathic Physicians |
| Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
0101057382 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA HEALTHCARE | 13766 | 01 |
| VA | ANTHEM | 1598743692 | 01 |
| VA | 007502419 | 05 | |
| VA | ANTHEM BC BS | 394266 | 01 |
| Street Address |
225 CLEARFIELD AVE |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527113 | Bruce A Rosenfeld | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2005-06-08 |
| 1417574120 | Allison Zolina Matias | Physician Assistant | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-06-29 |
| 1508495920 | Timothy Herbert King | Student in an Organized Health Care Education/Training Program | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-04-07 |
| 1316576382 | Paul Walker Prillaman | Student in an Organized Health Care Education/Training Program | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-04-02 |
| 1831721406 | Katherine Jihye Song | Physician Assistant | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-02-11 |
| 1578106365 | Jennifer Wolfe Fox | Nurse Practitioner | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-10-24 |
| 1639723893 | Sarah E Anderson | Nurse Practitioner | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-07-26 |
| 1528611340 | Christopher Michael Hedrick | Nurse Practitioner | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-07-21 |
| 1245791540 | Jamie Alissa Giovanelli | Physician Assistant | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-03-28 |
| 1114487931 | Catherine Robey | Student in an Organized Health Care Education/Training Program | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-03-20 |
| Find all providers in the same location | ||||
| 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 | 2088F0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235664897 | Loudoun Medical Group, P.C. | Urology | 1860 Town Center Dr, Suite 140, Reston, VA 20190-5896 | 2017-04-20 |
| 1811351166 | Loudoun Medical Group PC | Urology | 1830 Town Center Dr, Suite 306, Reston, VA 20190-3292 | 2016-04-12 |
| 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.