EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (NPI# 1659385292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659385292 |
| Entity Type | Organization |
| Organization Name | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION |
| Other Organization Name | EVMS MEDICAL GROUP |
| Practice Address |
721 Fairfax Ave Norfolk VA 23507-2007 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7574467363 |
| Practice Fax Number | 7576242272 |
| Mailing Telephone | 7574516200 |
| Mailing Fax Number | 7574516251 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | JAMES F. LIND JR. (CEO) |
| Authorized Official Telephone | 7574516200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| EVMS Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887118 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 4111 Monarch Way, Suite 500, Norfolk, VA 23508-2559 | 2006-01-27 |
| 1518376086 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 721 Fairfax Ave, Suite 200, Norfolk, VA 23507-2007 | 2014-08-08 |
| 1740699735 | Evms Academic Physicians and Surgeons Health Services Foundation | Internal Medicine | 301 Riverview Ave, Suite 670, Norfolk, VA 23510-1065 | 2014-08-05 |
| 1881848091 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2008-11-14 |
| 1124272463 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2008-11-13 |
| 1225282569 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2008-11-13 |
| 1023262367 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2008-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EVMS Academic Physicians and Surgeons Health Services Foundation | 4111 Monarch Way, Suite 500, Norfolk, Virginia 23508 |
| Street Address |
721 FAIRFAX AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237791 | Beverly Lavern Roberts-atwater | Physical Medicine & Rehabilitation | 721 Fairfax Ave, 3rd Floor, Norfolk, VA 23507-2007 | 2005-06-30 |
| 1477161610 | Alyssa Joyce Jessup | Nurse Practitioner | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2020-07-14 |
| 1285253500 | Emily Ruth Cunningham | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2020-04-16 |
| 1043872005 | Zahra Tasneem | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-06-30 |
| 1508427741 | Reema Husni Abughoush | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-06-27 |
| 1891350443 | Stephan Duran | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-05-08 |
| 1396208500 | Kelly Starosta Hill | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-04-14 |
| 1205396884 | Zeeshan Toor | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-03-21 |
| 1861952434 | Steve Mark D'souza | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-03-20 |
| 1932668738 | Abigail Winz | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427614551 | Fountain Point Laboratory LLC | Clinical Medical Laboratory | 3901 W Norfolk Ave Ste E, Norfolk, NE 68701-9211 | 2019-05-14 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1598054710 | Eric Walter Johnson | Clinical Medical Laboratory | 203 Litchfield Road, Norfolk, CT 06058 | 2011-03-29 |
| 1760572291 | Tidewater Dermatopathology Service, Inc | Clinical Medical Laboratory | 601 Medical Tower, Norfolk, VA 23507 | 2006-10-13 |
| 1619937281 | Chesapeake Dermatopathology & Dermatology, P.C. | Clinical Medical Laboratory | 580 Mowbray Arch, Norfolk, VA 23507-2130 | 2006-03-27 |
| 1396357901 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-08-17 |
| 1811524572 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-03-24 |
| 1811492986 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 305 N 37th St, Norfolk, NE 68701 | 2018-03-29 |
| 1295253987 | Tidewater Diagnostic Consultants, LLC | Clinical Medical Laboratory | 5215 Colley Ave, Norfolk, VA 23508-2166 | 2017-09-01 |
| 1174988448 | Regional West Medical Center | Clinical Medical Laboratory | 305 N 37th St, Norfolk, NE 68701-3275 | 2015-12-30 |
| Find all providers in NORFOLK | ||||
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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.