MS. TAYLOR ERIN D'ETCHEVERRY (NPI# 1669943890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669943890 |
| Entity Type | Individual |
| Full Name | MS. TAYLOR ERIN D'ETCHEVERRY |
| Credential | PA-C |
| Practice Address |
20560 Southport Landing Pl Smithfield VA 23430-8116 |
| Practice Telephone | 7578701865 |
| Mailing Telephone | 7578701865 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2268 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
20560 SOUTHPORT LANDING PL |
| City | SMITHFIELD |
| State | VA |
| Zip Code | 23430-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480884 | Tamara Waller | Physical Therapist | 107 Sunrise Bluff Ct, Smithfield, VA 23430 | 2019-10-29 |
| 1154729705 | Americare Plus, LLC. | In Home Supportive Care | 938 D South Church Street, Smithfield, VA 23430 | 2014-12-15 |
| 1275705196 | Isle of Wight Family Practice, LLC | Nurse Practitioner | 1807 South Church Street, Suite 200 C, Smithfield, VA 23430 | 2008-04-01 |
| 1467527945 | Dr Barry Van Orman Dds PC | Dentist | 225 Battery Park Rd, Smithfield, VA 23430 | 2006-11-21 |
| 1912083999 | Jennifer Farris Howard | Dentist | 200 Gumwood Dr., Smithfield, VA 23430 | 2006-10-31 |
| 1790289551 | Margaret Maria Furman-juda | Occupational Therapist | 820 West Main St, Special Education Department, Smithfield, VA 23430-1034 | 2018-03-19 |
| 1285710285 | Isle of Wight County Schools | Local Education Agency (LEA) | 820 West Main Street, Smithfield, VA 23430-1034 | 2006-10-31 |
| 1326535584 | Wanda Griffin Pascucci | Speech-Language Pathologist | 800 W Main St, Smithfield, VA 23430-1034 | 2018-04-13 |
| 1639383987 | Beth Ann Brant | Speech-Language Pathologist | 820 W Main St, Smithfield, VA 23430-1034 | 2007-05-09 |
| 1831361419 | Isle of Wight Family and Cosmetic Dentistry, P.C. | Dentist | 200 Gumwood Dr., Building 1, Smithfield, VA 23430-1103 | 2008-03-24 |
| Find all providers in zip 23430 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500754 | Juan Carlos Torres | Surgery | 4100 David Ln, Alexandria, VA 22311-1113 | 2020-08-29 |
| 1770132409 | Hiba Ezzeddine | Surgery | Vcuhs Dept of Acute Care Surgery Fellowship, 980454, 1250 E. Marshall Street, Richmond, VA 23298-0454 | 2019-09-05 |
| 1780997080 | Dustin Donley | Surgery | 7101 Jahnke Rd Bldg Suite260, Richmond, VA 23225-4017 | 2010-07-15 |
| 1417936493 | Joseph Charles Babrowicz Jr. | Surgery | 3299 Woodburn Rd Ste 230, Annandale, VA 22003-7319 | 2006-01-10 |
| 1114366028 | Charles Kevin Grigsby | Surgery | 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1912 | 2013-06-25 |
| 1831487479 | Asanthi Marian Ratnasekera | Surgery | 1250 E Marshall St, Pob 980257, Richmond, VA 23298-0257 | 2011-07-18 |
| 1255621900 | Michael T Martyak | Surgery | 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1914 | 2011-04-14 |
| 1104116235 | John Patrick Davis | Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2011-04-11 |
| 1952625576 | Jacob R Gillen | Surgery | 1906 Belleview Ave Se, Roanoke, VA 24014 | 2010-03-25 |
| 1609019314 | Jessica Robin Burgess | Surgery | 825 Fairfax Ave, Suite 610, Norfolk, VA 23507-1914 | 2009-04-10 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 23430 |
Please comment or provide details below to improve the information on MS. TAYLOR ERIN D'ETCHEVERRY.
| 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.