MID-ATLANTIC WOMENS CARE PLC (NPI# 1609110774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609110774 |
| Entity Type | Organization |
| Organization Name | MID-ATLANTIC WOMENS CARE PLC |
| Practice Address |
828 Healthy Way Suite 330 Virginia Beach VA 23462-7958 |
| Practice Telephone | 7574613890 |
| Practice Fax Number | 7574670301 |
| Mailing Telephone | 7574613890 |
| Mailing Fax Number | 7574670301 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | REX G WATERBURY (PHYSICIAN) |
| Authorized Official Telephone | 7574613890 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-ATLANTIC WOMENS CARE PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1701004447 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | C05062 | C05062 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376071951 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 11747 Jefferson Ave Ste 1a, Newport News, VA 23606-4401 | 2017-05-26 |
| 1396298873 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 6353 Center Dr Ste 100, Norfolk, VA 23502-4100 | 2016-08-01 |
| 1376769323 | Mid-atlantic Womens Care Plc | Clinic/Center | 844 Kempsville Rd Ste 210, Norfolk, VA 23502-3927 | 2007-04-18 |
| 1942329792 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 448 Viking Dr Ste 100, Virginia Beach, VA 23452-7331 | 2007-03-29 |
| 1447379391 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 2240 Coliseum Dr Ste B, Hampton, VA 23666-5903 | 2007-03-29 |
| 1568593952 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 667 Kingsborough Sq Ste 200, Chesapeake, VA 23320-4999 | 2007-03-08 |
| 1588709497 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 118 Fairview Drive, Suite 100, Franklin, VA 23851-1238 | 2007-02-20 |
| 1477652626 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 100 Kingsley Ln Ste 200, Norfolk, VA 23505-4604 | 2006-09-22 |
| 1114965043 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 828 Healthy Way Ste 330, Virginia Beach, VA 23462-7959 | 2006-06-03 |
| 1780824953 | Mid-atlantic Womens Care Plc | Specialist | 4917 S Croatan Hwy, Nags Head, NC 27959-8811 | 2009-03-02 |
| Street Address |
828 HEALTHY WAY SUITE 330 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-7958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105285 | Michael Leslie Gross | Dermatology | 828 Healthy Way, Suite 300, Virginia Beach, VA 23462-7958 | 2005-06-22 |
| 1912453416 | Lindsay Reck | Physician Assistant | 828 Healthy Way, Suite 300, Virginia Beach, VA 23462-7958 | 2016-08-25 |
| 1497115869 | Samantha Jo Sturgeon-mccarty | Physician Assistant | 828 Healthy Way, Suite 300, Virginia Beach, VA 23462-7958 | 2016-02-29 |
| 1790173029 | Nicole M Moriarty | Counselor | 828 Healthy Way, Suite 330, Virginia Beach, VA 23462-7958 | 2015-01-09 |
| 1558606319 | Princess Anne Ent & Allergy, PC. | Specialist | 828 Healthy Way, Suite 280, Virginia Beach, VA 23462-7958 | 2012-12-05 |
| 1104110584 | Erin Kann | Nurse Practitioner | 828 Healthy Way, Suite 330, Virginia Beach, VA 23462-7958 | 2011-06-03 |
| 1013235936 | Colleen M Connor | Obstetrics & Gynecology | 828 Healthy Way, Suite 330, Virginia Beach, VA 23462-7958 | 2010-05-17 |
| 1366775470 | Shannon M Morris | Physician Assistant | 828 Healthy Way, Suite 350, Virginia Beach, VA 23462-7959 | 2009-09-09 |
| 1881824662 | Gretchen G. Jones | Midwife | 828 Healthy Way, Suite 330, Virginia Beach, VA 23462-7958 | 2009-07-15 |
| 1942452503 | Courtney Elizabeth Michels | Counselor | 828 Healthy Way, Suite 330, Virginia Beach, VA 23462-7958 | 2008-10-15 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1942725429 | Adebisi Olumuyiwa Osibogun | Counselor | 1109 Love Ct, Virginia Beach, VA 23464-5011 | 2017-08-07 |
| 1487198073 | Hopewell Counseling | Counselor | 4500 Holland Office Park, Suite 320, Virginia Beach, VA 23452-1146 | 2016-12-15 |
| 1235599713 | Manny Lee Garduque | Counselor | 5163 Cleveland St, Virginia Beach, VA 23462-6501 | 2016-02-26 |
| 1356770366 | Amanda Albright | Counselor | 5267 Greenwich Rd Ste 101e, Virginia Beach, VA 23462-6028 | 2013-11-11 |
| 1821435694 | Community Counseling Resources | Counselor | 780 Lynnhaven Pkwy Ste 380, Virginia Beach, VA 23452-7332 | 2013-06-03 |
| 1649511874 | Jerious Counseling Services, LLC | Counselor | 5108 Greenwich Road, Virginia Beach, VA 23462 | 2013-03-13 |
| 1043571276 | Wanda T Giles | Counselor | 1 Columbus Ctr Ste 665, Virginia Beach, VA 23462-6722 | 2012-06-05 |
| 1730322611 | Jonathan Eric Smith | Counselor | 1664 Chestwood Dr, Virginia Beach, VA 23453-7064 | 2009-04-08 |
| 1316168487 | Meredith Tebbe | Counselor | 1213 Laskin Rd Ste 106, Virginia Beach, VA 23451-5277 | 2007-05-02 |
| 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.