EMILY PERDONCIN (NPI# 1740574557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740574557 |
Entity Type | Individual |
Full Name | EMILY PERDONCIN |
Credential | MD |
Practice Address |
3737 High St Portsmouth VA 23707 |
Mailing Address |
Po Box 7068 Portsmouth VA 23707-0068 |
Practice Telephone | 7576869400 |
Practice Fax Number | 7573371049 |
Mailing Telephone | 7576863508 |
Mailing Fax Number | 7576860541 |
Enumeration Date | 2011-06-09 |
Last Update Date | 2018-07-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 4301098745 | MI | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301098745 | MI | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101264479 | VA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301098745 | MI | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2000 Meade Pkwy, Suffolk, VA 234344259 | 7579349420 | 7579349366 |
400 W Brambleton Ave Ste 100, Norfolk, VA 235101115 | 7576277700 | 7576273841 |
612 Kingsborough Sq Ste 100, Chesapeake, VA 233205041 | 7575479294 | 7572139342 |
Street Address |
3737 HIGH ST |
City | PORTSMOUTH |
State | VA |
Zip Code | 23707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053428862 | Robert J. Accettola | Internal Medicine | 3737 High St, Portsmouth, VA 23707-2405 | 2006-08-25 |
1255655718 | Amy Accettola Shannon | Nurse Practitioner | 3737 High St, Portsmouth, VA 23707-2405 | 2010-03-26 |
1811093495 | Robert J. Accettola, Md, LLC | Internal Medicine | 3737 High St, Portsmouth, VA 23707-2405 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
Find all providers in zip 23707 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013239953 | Somc Medical Care Foundation, Inc. | Internal Medicine | 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654 | 2010-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811533375 | Sentara Medical Group | Internal Medicine | 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2409 | 2019-11-20 |
1588167944 | Loudoun Cardiology Plc | Internal Medicine | 24430 Stone Springs Blvd Ste 500, Dulles, VA 20166-2247 | 2018-03-13 |
1659889533 | Cardiac Cin of Northern Virginia LLC | Internal Medicine | 1900 Campus Commons Dr Ste 100c, Reston, VA 20191-1561 | 2018-01-13 |
1114287117 | Ashesh N. Buch | Internal Medicine | 111 Medical Pkwy Fl 2, Chesapeake, VA 23320-0302 | 2012-05-23 |
1538429857 | Sentara Medical Group | Internal Medicine | 3920 Bridge Rd # A, Ste 202, Suffolk, VA 23435-1117 | 2012-05-21 |
1790044311 | Sentara Medical Group | Internal Medicine | 713 Volvo Pkwy Ste 200, Chesapeake, VA 23320-1614 | 2012-05-16 |
1053546846 | Dhavalkumar B Patel | Internal Medicine | 7505 Right Flank Rd Ste 700, Mechanicsville, VA 23116-3865 | 2009-05-21 |
1841435377 | Maryview Hospital | Internal Medicine | 5838 Harbour View Blvd Ste 270, Suffolk, VA 23435-3602 | 2008-12-12 |
1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
1881680619 | Frans A Vossenberg | Internal Medicine | 1201 Sam Perry Blvd, Suite 280, Fredericksbrg, VA 22401-4490 | 2005-09-27 |
Find all providers with the same taxonomy |
City | PORTSMOUTH |
Zip Code | 23707 |
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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.