VINCENT M. GORE (NPI# 1740255702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740255702 |
Entity Type | Individual |
Full Name | VINCENT M. GORE |
Credential | M. D. |
Practice Address |
12101 S Chalkley Rd Chester VA 23831-3755 |
Mailing Address |
Po Box 758963 Baltimore MD 21275-8963 |
Practice Telephone | 8047963636 |
Mailing Telephone | 8048224355 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2007-11-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 0101225491 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 5645093 | 05 |
Street Address |
12101 S CHALKLEY RD |
City | CHESTER |
State | VA |
Zip Code | 23831-3755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003881228 | George Clifford Walton | Family Medicine | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2006-02-21 |
1427216589 | Arthur James Lindsay | Physician Assistant | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2008-05-27 |
1922265321 | Navdeep Singh Uppal | Family Medicine | 12101 S Chalkley Rd, Chester, VA 23831 | 2008-05-22 |
1033321252 | Tara E Glennon | Family Medicine | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2007-05-03 |
1669520672 | Patient First | Non-Pharmacy Dispensing Site | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2007-01-08 |
1538240502 | Richard Leroy Schroff Jr. | Surgery | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2006-10-18 |
1740384395 | Patient First Richmond Medical Group Pllc | Family Medicine | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2006-09-12 |
1518927904 | Douglas C. Powell | Family Medicine | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2006-03-28 |
1700851763 | Nicole E. Roberts-boyd | Internal Medicine | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2006-02-22 |
1942275193 | Kim C. Clements | Family Medicine | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2006-02-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.