BILL WAYNE BERRY JR. (NPI# 1639179153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639179153 |
Entity Type | Individual |
Full Name | BILL WAYNE BERRY JR. |
Credential | M.D. |
Practice Address |
1950 Glenn Mitchell Dr Suite 310 Virginia Beach VA 23456-0019 |
Practice Telephone | 7575070340 |
Practice Fax Number | 7575070341 |
Mailing Telephone | 7575070340 |
Mailing Fax Number | 7575070341 |
Enumeration Date | 2005-07-27 |
Last Update Date | 2012-10-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 0101054182 | VA | Allopathic & Osteopathic Physicians |
N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
0101054182 | VA | Allopathic & Osteopathic Physicians |
Street Address |
1950 GLENN MITCHELL DR SUITE 310 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23456-0019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558782086 | Megan Leser | Nurse Practitioner | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 | 2013-12-31 |
1497183164 | Virginia Oncology Associates | Durable Medical Equipment & Medical Supplies | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 | 2013-10-16 |
1588942155 | Frederick Bagares | Physical Medicine & Rehabilitation | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2011-07-29 |
1174822563 | Sentara Medical Group | Neurological Surgery | 1950 Glenn Mitchell Dr, Ste 200, Virginia Beach, VA 23456-0019 | 2011-03-24 |
1629378823 | Ashley Luna Childers | Physician Assistant | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0048 | 2010-10-22 |
1073849758 | Alyse Y Piper | Physician Assistant | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 | 2009-10-30 |
1124272463 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2008-11-13 |
1760635650 | Ezmin George | Internal Medicine | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2008-10-23 |
1518117829 | Sentara Medical Group | Audiologist | 1950 Glenn Mitchell Dr, Ste. 310b, Virginia Beach, VA 23456-0019 | 2008-09-23 |
1265617864 | Sentara Medical Group | Internal Medicine | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2008-01-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
Find all providers in zip 23456 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265492227 | Curtis Wesley Gaball | Otolaryngology | 4560 Church Point Place, Virginia Beach, VA 23455 | 2006-03-24 |
1235138249 | Andrey IImants Blumberg | Otolaryngology | 3141 Kline Dr, Virginia Beach, VA 23452-6228 | 2005-07-20 |
1275747354 | Sentara Medical Group | Otolaryngology | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456 | 2007-05-09 |
1831207760 | William Swain Teachey | Otolaryngology | 1020 Independence Blvd, Suite 313, Virginia Beach, VA 23455 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
1629459243 | Kevin James Quinn | Otolaryngology | 1200 E Broad St # 980257, Richmond, VA 23298 | 2015-06-10 |
1356778641 | Stat, LLC | Otolaryngology | 10812 Weather Vane Rd, Richmond, VA 23238-4161 | 2013-10-01 |
1134564073 | Ear, Nose, Throat & Allergy Consultants, PC | Otolaryngology | 26208 Lee Highway, Abingdon, VA 24211-7504 | 2013-05-06 |
1467790477 | Marco Aurelio Merida | Otolaryngology | 7216 Farm Meadow Ct, Mc Lean, VA 22101-5657 | 2013-01-25 |
1609142355 | Neelima Tummala | Otolaryngology | 1860 Town Center Dr Ste 420, Reston, VA 20190-5901 | 2012-03-27 |
1346512225 | John Laurence Manwaring | Otolaryngology | 7734 Retreat Ln, Warrenton, VA 20186-7546 | 2012-02-07 |
1508151887 | Jose Luis Mattos | Otolaryngology | 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 | 2011-06-14 |
1982998852 | Blue Ridge Medical Management Corporation | Otolaryngology | 7021 W Lee Highway, Suite B, Rural Retreat, VA 24368-0000 | 2011-06-08 |
1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
Find all providers with the same taxonomy |
City | VIRGINIA BEACH |
Zip Code | 23456 |
Please comment or provide details below to improve the information on BILL WAYNE BERRY JR..
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.