JAVIER DE LUCA-JOHNSON (NPI# 1679815419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679815419 |
Entity Type | Individual |
Full Name | JAVIER DE LUCA-JOHNSON |
Other Name | JAVIER DE LUCA-WESTRATE |
Credential | MD |
Practice Address |
Naval Medical Center Portsmouth 620 John Paul Jones Circle Portsmouth VA 23708 |
Practice Telephone | (757) 953-7550 |
Practice Fax Number | 7579537560 |
Mailing Telephone | 7579537550 |
Mailing Fax Number | 7579537560 |
Enumeration Date | 2013-03-19 |
Last Update Date | 2018-05-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101261786 | VA | Allopathic & Osteopathic Physicians |
Street Address |
NAVAL MEDICAL CENTER PORTSMOUTH 620 JOHN PAUL JONES CIRCLE |
City | PORTSMOUTH |
State | VA |
Zip Code | 23708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437156577 | William Paul Magdycz Jr. | Otolaryngology | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 | 2005-07-05 |
1871102285 | Christopher Gough | Dentist | Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2020-07-31 |
1073133989 | Daley Favo Auvil | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-21 |
1942835038 | Stefani Ann Vande Lune | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-03-09 |
1306478151 | Matthew D Monaco | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-02-10 |
1336796598 | Sierra Kelsey Dimberg | Psychologist | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-08-22 |
1306408786 | Elizabeth Gallegos | Nurse Anesthetist, Certified Registered | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-07-05 |
1164982161 | Rachel Barnes Deutsch | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-03-25 |
1255890968 | Jason A Jergensen | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-03-13 |
1003371246 | Tyler Baldino | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
Find all providers in zip 23708 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
1255960522 | Forward Pathology Solutions - New Hampshire, LLC | Pathology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-07 |
1942680269 | Robert P Gormley | Pathology | 620 John Paul Jones Cir, Department of Pathology, Portsmouth, VA 23708-2197 | 2015-06-02 |
1326230178 | Norman Yanzon Briones | Pathology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-08-15 |
1013116912 | Shayna B. Tomchin | Pathology | 1805 27th St, Portsmouth, OH 45662 | 2007-07-12 |
1831276112 | Trevor Lee Kuttler | Pathology | 620 John Paul Jones Cir, Laboratory, Portsmouth, VA 23708-2197 | 2006-11-01 |
1053386649 | Robert C Stabley | Pathology | Naval Medical Center, 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 | 2006-02-17 |
1629067731 | Darlene A. Knapp | Pathology | 333 Borthwick Avenue, Portsmouth, NH 03801-7128 | 2005-10-20 |
1114915279 | Vincent H Randaisi | Pathology | 1805 27th St, Portsmouth, OH 45662-2640 | 2005-10-12 |
1255329413 | Southern Ohio Regional Pathology, Inc | Pathology | 1805 27th St, Portsmouth, OH 45662-2640 | 2005-10-12 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23708 |
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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.