DR. MARC KAMEL BOUSTANY (NPI# 1750386041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750386041 |
| Entity Type | Individual |
| Full Name | DR. MARC KAMEL BOUSTANY |
| Credential | MD |
| Practice Address |
725 Volvo Pkwy Ste. 210 Chesapeake VA 23320-1602 |
| Practice Telephone | 7572615000 |
| Practice Fax Number | 7579625610 |
| Mailing Telephone | 7572615000 |
| Mailing Fax Number | 7579625610 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101221457 | VA | Other Service Providers |
| Y | 208600000X | Surgery | 0101221457 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007309996 | 05 |
| Street Address |
725 VOLVO PKWY STE. 210 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214235 | Paige C Fedro | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-06-14 |
| 1205391166 | Sonya Leann Woronowicz | Nurse Practitioner | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-02-05 |
| 1316401359 | Electrophysiologic Testing and Physical Therapy Services | Physical Therapist | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-01-23 |
| 1962985655 | Kelsey Jordana Garner | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2018-09-10 |
| 1881188183 | Lindsay Piccillo Houghton | Registered Nurse | 725 Volvo Pkwy, Chesapeake, VA 23320 | 2018-06-20 |
| 1437690153 | Caitlin T Johnson | Nurse Practitioner | 725 Volvo Pkwy, Ste 102, Chesapeake, VA 23320-1621 | 2017-03-14 |
| 1932511441 | Van Thi Nguyen | Family Medicine | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2014-06-02 |
| 1952727588 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 725 Volvo Pkwy, Ste 210, Chesapeake, VA 23320-1602 | 2014-03-06 |
| 1225276785 | Sentara Medical Group | Orthopaedic Surgery | 725 Volvo Pkwy, Ste 210, Chesapeake, VA 23320-1602 | 2009-01-21 |
| 1780840199 | Virginia Oncology Associates | Non-Pharmacy Dispensing Site | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 | 2008-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| 1265669568 | Henry Patterson | Surgery | 624 Wickwood Dr, Chesapeake, VA 23322-5875 | 2009-06-15 |
| 1720226285 | Warren Irving Hercules | Surgery | 400 Albemarle Dr, Chesapeake, VA 23322-5504 | 2009-01-21 |
| 1700968203 | Greenbrier Surgical Associates PC | Surgery | 2147 Old Greebrier Rd, Chesapeake, VA 23320 | 2006-10-20 |
| 1972695872 | John Kabzeel Yesudas Chacko | Surgery | 3212 Churchland Boulevard, Suite 8, Chesapeake, VA 23321-5206 | 2006-09-28 |
| 1619073582 | Juan Murillo Montero II | Surgery | 524 Woodards Ford Rd, Chesapeake, VA 23322-4341 | 2006-09-16 |
| 1982630307 | Ivor Purchas | Surgery | 2537 Lakewood Ln, Chesapeake, VA 23321-3703 | 2006-06-25 |
| 1770519381 | Tidewater Surgical Specialists, Pllc | Surgery | 3205 Churchland Blvd, Chesapeake, VA 23321-5262 | 2006-06-24 |
| 1013960814 | Mohib N I Ghobrial | Surgery | 109c Wimbledon Square, Chesapeake, VA 23320 | 2006-05-19 |
| 1083688972 | Robert Joseph Chastanet | Surgery | Chesapeake Weight Loss, 221 Mt. Pleasant Road, Chesapeake, VA 23322 | 2006-02-15 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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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.