GERSHON PAIN SPECIALISTS, LLC (NPI# 1760755847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755847 |
| Entity Type | Organization |
| Organization Name | GERSHON PAIN SPECIALISTS, LLC |
| Practice Address |
1133 First Colonial Rd Virginia Beach VA 23454-2402 |
| Practice Telephone | 7574962050 |
| Practice Fax Number | 7576894357 |
| Mailing Telephone | 7574962050 |
| Mailing Fax Number | 7576894357 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | DR. STEVEN L GERSHON (PRESIDENT) |
| Authorized Official Telephone | 7574962050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0101048068 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1871710798 | 05 | |
| MEDICARE NSC | 6668240001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871710798 | Gershon Pain Specialists, LLC | Physical Medicine & Rehabilitation | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2007-04-20 |
| Street Address |
1133 FIRST COLONIAL RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578602017 | Mary Jo Dougherty | Physician Assistant | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2007-02-05 |
| 1396199949 | Jodi Emery | Acupuncturist | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2016-04-20 |
| 1891196069 | Hillary Huertas Ripoll | Physician Assistant | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2014-09-08 |
| 1437467115 | Thomas Michael Bousman | Physician Assistant | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2010-09-16 |
| 1871710798 | Gershon Pain Specialists, LLC | Physical Medicine & Rehabilitation | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214722 | Norman H Williams | Durable Medical Equipment & Medical Supplies | 966 Hunley Dr, Virginia Beach, VA 23462-5274 | 2020-08-06 |
| 1154966166 | Creative Images | Durable Medical Equipment & Medical Supplies | 5041 Corporate Woods Dr Ste 170, Virginia Beach, VA 23462-4381 | 2019-11-13 |
| 1861957458 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1069 Independence Blvd, Virginia Beach, VA 23455-5523 | 2019-02-07 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1275004673 | Core Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2900 Chestnut Oak Way, Virginia Beach, VA 23453-7091 | 2018-12-10 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1811495260 | Hkm Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 900 Commonwealth Pl Ste 200, Virginia Beach, VA 23464-4530 | 2018-01-30 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1962954453 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 546 First Colonial Rd, Virginia Beach, VA 23451-6120 | 2016-10-31 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on GERSHON PAIN SPECIALISTS, LLC.
| 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.