ERICA FORMATO (NPI# 1699161679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699161679 |
| Entity Type | Individual |
| Full Name | ERICA FORMATO |
| Practice Address |
2760 Godwin Blvd Ste 100 Suffolk VA 23434 |
| Mailing Address |
2760 Godwin Blvd Ste 100 Suffolk VA 23434-8501 |
| Practice Telephone | 7579838650 |
| Practice Fax Number | 7575389038 |
| Mailing Telephone | 7579838650 |
| Mailing Fax Number | 7575389038 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101264179 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2760 Godwin Blvd Ste 100, Suffolk, VA 23434 | 7579838650 | 7575389038 |
| Street Address |
2760 GODWIN BLVD STE 100 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710318241 | Sentara Medical Group | Internal Medicine | 2760 Godwin Blvd Ste 100, Suffolk, VA 23434-8036 | 2013-12-10 |
| 1245732353 | Ashley Tromblay | Physician Assistant | 2760 Godwin Blvd Ste 100, Suffolk, VA 23434-8036 | 2018-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| 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 |
|---|---|---|---|---|
| 1891287611 | Franklin Clinic Corp | Family Medicine | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 2018-06-06 |
| 1922418235 | Maryview Hospital | Family Medicine | 148 Burnetts Way, Ste 107, Suffolk, VA 23434-6149 | 2014-05-08 |
| 1164687190 | Margie Pantangco Pascual | Family Medicine | 5818-d Harbour View Blvd, Suite 250, Suffolk, VA 23435 | 2008-07-18 |
| 1083804728 | Franklin Clinic Corp | Family Medicine | 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 | 2007-07-30 |
| 1548463185 | Mckenney Medical Group, Pllc | Family Medicine | 6712a S Quay Rd, Suffolk, VA 23437-8697 | 2007-06-11 |
| 1144437039 | Center for Health and Diabetes, Pllc | Family Medicine | 131 N Saratoga St, Suffolk, VA 23434-5258 | 2007-05-17 |
| 1730263435 | Monique Mccarter Lee | Family Medicine | 157 N Main St, Suite A, Suffolk, VA 23434-4565 | 2006-10-25 |
| 1104849132 | Roger Guy Lever | Family Medicine | 2800 Godwin Blvd Fl 1, Suffolk, VA 23434-8038 | 2006-07-25 |
| 1962429498 | Obici Medical Management Services, Inc | Family Medicine | 1548 Holland Rd # B, Suffolk, VA 23434-6528 | 2006-07-17 |
| 1144251687 | Linda Kay Frey | Family Medicine | 2019 Meade Pkwy, Suffolk, VA 23434-4259 | 2006-07-05 |
| Find all providers in SUFFOLK | ||||
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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.