CHRISTOPHER J. CICCONE (NPI# 1659377356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659377356 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER J. CICCONE |
| Credential | M.D. |
| Practice Address |
4125 Ironbound Rd Suite 200 Williamsburg VA 23188-2666 |
| Mailing Address |
860 Omni Blvd Suite 303 Newport News VA 23606-4430 |
| Practice Telephone | 7573452829 |
| Practice Fax Number | 7573450644 |
| Mailing Telephone | 7572328777 |
| Mailing Fax Number | 7572328866 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2011-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101052863 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5626072 | 05 | |
| VA | RAILROAD MEDICARE | 080091377 | 01 |
| Street Address |
4125 IRONBOUND RD SUITE 200 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598143695 | Hayle Korem | Physical Therapist | 4125 Ironbound Rd, Williamsburg, VA 23188 | 2015-05-11 |
| 1265853097 | Ryan P Shumate | Physical Therapist | 4125 Ironbound Rd, Suite100, Williamsburg, VA 23188-2666 | 2013-12-20 |
| 1083044218 | Amy R Seraydarian | Physical Therapist | 4125 Ironbound Rd, Suite 100, Williamsburg, VA 23188-2666 | 2013-11-25 |
| 1184978496 | Jared Ross Howell | Specialist/Technologist | 4125 Ironbound Rd, Williamsburg, VA 23188-2666 | 2012-11-08 |
| 1487900239 | Carmen M. Mulherin | Physical Therapist | 4125 Ironbound Rd, Suite 100, Williamsburg, VA 23188-2666 | 2012-07-31 |
| 1811211394 | Digestive Disease Center of Virginia, PC | Internal Medicine | 4125 Ironbound Rd, Suite 201, Williamsburg, VA 23188-2666 | 2010-03-26 |
| 1417198144 | Cynthia J Hartman | Physical Therapist | 4125 Ironbound Rd, Suite 100, Williamsburg, VA 23188-2666 | 2009-03-09 |
| 1407934359 | Joanna M. Kokolis | Physical Therapist | 4125 Ironbound Rd, Suite 100, Williamsburg, VA 23188-2666 | 2006-11-01 |
| 1851474183 | Allison Delaney | Physical Therapist | 4125 Ironbound Rd, Ste 100, Williamsburg, VA 23188 | 2006-10-23 |
| 1306951116 | Sarita Golikeri Subramaniam | Family Medicine | 4125 Ironbound Rd, Suite 200, Williamsburg, VA 23188-2666 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487138020 | Kenneth Allen Kleyn | Family Medicine | 5548 Millbrook Dr, Williamsburg, MI 49690-9214 | 2018-09-19 |
| 1487188579 | Christina A. Mutch | Family Medicine | 2225 S Henry St Ste U2, Williamsburg, VA 23185-3973 | 2017-04-14 |
| 1669835989 | Community Health Systems Inc. | Family Medicine | 8965 Shoestring Trail, Williamsburg, WV 24991-0010 | 2016-04-04 |
| 1386028769 | Crystal Lake Clinic P.C. | Family Medicine | 6170 Us Highway 31 N, Williamsburg, MI 49690-9306 | 2015-07-15 |
| 1043606098 | Sentara Medical Group | Family Medicine | 1915 Pocahontas Trl, Ste F5, Williamsburg, VA 23185-5663 | 2015-04-07 |
| 1548681216 | Marengo Memorial Hospital | Family Medicine | 498 N Highland St., Williamsburg, IA 52361-9695 | 2013-12-26 |
| 1265616221 | First Med of Williamsburg | Family Medicine | 312 Second Street, Williamsburg, VA 23185 | 2007-12-26 |
| 1740478601 | David May Do Pllc | Family Medicine | 3939 M-72 East #210, Williamsburg, MI 49690 | 2007-10-04 |
| 1588865026 | Deanna Lynne Trail | Family Medicine | 3096 Nathaniels Grn, Williamsburg, VA 23185-7505 | 2007-05-31 |
| 1801934682 | Giacomo A Ricciarelli | Family Medicine | 263 Mclaws Circle, Suite 105, Williamsburg, VA 23185-5629 | 2007-02-02 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.