DR. RYAN DOUGLAS FASHEMPOUR (NPI# 1750945713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750945713 |
| Entity Type | Individual |
| Full Name | DR. RYAN DOUGLAS FASHEMPOUR |
| Credential | MD |
| Practice Address |
1775 Forrestal Dr Bldg 33 Norfolk VA 23551-0004 |
| Mailing Address |
1775 Forrestal Dr Bldg 33 Norfolk VA 23551-0001 |
| Practice Telephone | 4403642531 |
| Mailing Telephone | 4403642531 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101270479 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA BOARD OF MEDICINE | 0101270479 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8901 Wisconsin Ave, Bethesda, MD 208890004 | 3012959283 |
| Street Address |
1775 FORRESTAL DR BLDG 33 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23551-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116297 | Josef Schroeder | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-2111 | 2018-03-03 |
| 1831724061 | Steven Mitchell Hartzler | Physician Assistant | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2020-03-09 |
| 1508403460 | James M Burdette | Physician Assistant | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-9219 | 2019-12-10 |
| 1750945333 | Scott David Berkheimer | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0004 | 2019-04-29 |
| 1902363971 | Richard Fetherston Maguire IIi | Military Hospital | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-2111 | 2019-02-26 |
| 1831655596 | Konyinsola Iyaniwura Dawodu | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-2620 | 2019-02-18 |
| 1194205716 | Caleb Swain | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-08-14 |
| 1992208763 | Philippe Andrew Warren | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407820426 | Jeffery Wayne Paulson | Family Medicine | Fleet Forces Command, 1562 Mitscher Ave, Ste 250, Norfolk, VA 23551-0001 | 2006-02-15 |
| 1891775532 | Martin Lewis Snyder | Surgery | U.S.fleet Forces Command-command Surgeon, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2006-01-19 |
| 1366420853 | Supakunya Edmonson | Family Medicine | Uss Enterprise, Medical Dept, Norfolk, VA 23551-0001 | 2006-01-04 |
| 1871585448 | Tiffany A Jones | Dental Hygienist | Uss John F. Kennedy Cv-67, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2005-08-18 |
| 1548757263 | Dylan Griffiths | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr, Norfolk, VA 23551-0001 | 2018-04-18 |
| 1184129629 | Michael Uriah Hoerner | Student in an Organized Health Care Education/Training Program | Us Marine Corps Forces Command 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2018-03-27 |
| 1780955534 | Christopher Halagarda | Dietitian, Registered | Us Marine Corps Forces Command, 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2012-01-25 |
| 1144722232 | David William Spivey | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr, Norfolk, VA 23551-2111 | 2018-03-05 |
| 1033617485 | John Michael Kerber | General Practice | 1562 Mitscher Ave Ste 250, Norfolk, VA 23551-2111 | 2018-01-30 |
| 1184019879 | Kyle Gray | Psychiatry & Neurology | Us Marine Corps Forces Command 1775 Forrestal Drive, Norfolk, VA 23551-2400 | 2015-03-31 |
| Find all providers in zip 23551 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1033617485 | John Michael Kerber | General Practice | 1562 Mitscher Ave Ste 250, Norfolk, VA 23551-2111 | 2018-01-30 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1881018521 | Emily Alison Bond | General Practice | 116 E Bayview Blvd, Norfolk, VA 23503-4834 | 2014-02-18 |
| 1649608258 | Gad Brosch | General Practice | 239 Duke St, 208, Norfolk, VA 23510-0916 | 2013-10-16 |
| 1922386291 | Julian S Ku | General Practice | 418 Warren Cres, Apt 5, Norfolk, VA 23507-2240 | 2011-08-03 |
| 1598998189 | Mallory J. Read Jr. | General Practice | 551 Warren Cres, Norfolk, VA 23507-2128 | 2009-08-28 |
| 1023232790 | Ann Elizabeth Rawlings | General Practice | 7510 Major Ave, Norfolk, VA 23505-3024 | 2007-04-12 |
| 1700959632 | Scott J Carlson | General Practice | 1721 Taussig, Norfolk, VA 23511 | 2006-11-16 |
| Find all providers in NORFOLK | ||||
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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.