PASSPORT HEALTH HOLDINGS, LLC.


Address: 2812 Emerywood Parkway, #160, Richmond, VA 23294
Phone: 8889096551

PASSPORT HEALTH HOLDINGS, LLC. (NPI# 1811313943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811313943
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS, LLC.
Other Organization Name PPH GLOBAL SERVICES, LLC.
Practice Address 2812 Emerywood Parkway
#160
Richmond
VA 23294
Mailing Address 8324 E Hartford Dr
#200
Scottsdale
AZ 85255
Practice Telephone 8889096551
Practice Fax Number 4803836567
Mailing Telephone 8889096551
Mailing Fax Number 4803836567
Enumeration Date 2014-03-13
Last Update Date 2016-03-18
Authorized Official Name DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
261Q0000X NV Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PPH Global Services, LLC. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649696766 Passport Health Holdings, LLC. Preventive Medicine 9190 Double Diamond Parkway, # 131, Reno, NV 89521 2014-03-13
1336557685 Passport Health Holdings, LLC. Preventive Medicine 3211 N. Tenaya Way, Las Vegas, NV 85255 2014-07-31
1477970192 Passport Health Holdings, LLC. Clinic/Center 29 Plantation Park Dr, B100 #117, Bluffton, SC 29910 2014-03-19
1447676572 Passport Health Holdings, LLC. Preventive Medicine 1600 University Ave W, #207, Saint Paul, MN 55104 2014-03-13
1710303839 Passport Health Holdings, LLC. Preventive Medicine 200 Bartlett Dr, # 105, El Paso, TX 79912 2014-03-13
1720404858 Passport Health Holdings, LLC. Preventive Medicine 7003 Chadwick Dr, #227, Brentwood, TN 37027 2014-03-13

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations PASSPORT HEALTH HOLDINGS, LLC 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255

Office Location

Street Address 2812 EMERYWOOD PARKWAY
#160
City RICHMOND
State VA
Zip Code 23294

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811454994 Joshua Fritz Behavior Technician 2601 Willard Rd, Ste 105, Richmond, VA 23294 2019-02-26
1578020608 Nicole Hoppe Behavior Technician 2601 Willard Road, Ste 105, Richmond, VA 23294 2019-02-25
1699278713 Osman Med Transportation LLC Non-emergency Medical Transport (VAN) 8703 Queensmere Plz Apt 2, Henrico, VA 23294 2018-03-15
1346742830 F.c. of Virginia, Inc. Hospice Care, Community Based 8401 Mayland Drive Suite L, Richmond, VA 23294 2018-03-01
1497256911 Susan Marie Robinson Speech-Language Pathologist 9200 Mapleview Avenue, Richmond, VA 23294 2018-02-21
1407375512 Lisa Therese Hall Speech-Language Pathologist Skipwith Elementary School, 2401 Skipwith Rd., Henrico, VA 23294 2017-09-11
1295257863 All Around Taxi Service.inc Taxi 8601 Pellington Pl #7, Richmond, VA 23294 2017-07-14
1992225809 Pony-care Transportation, Inc Non-emergency Medical Transport (VAN) 3212 Skipwith Road, Suite L3, Henrico, VA 23294 2017-06-21
1801325295 Christina Chaney Behavior Technician 9351 West Broad St, Henrico, VA 23294 2017-06-08
1033648423 Sarah Jennings Behavior Technician 9351 West Broad St., Henrico, VA 23294 2017-06-08
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184998478 Heidi Marie Bauer Preventive Medicine 850 Marina Bay Pkwy # P-2, Richmond, CA 94804-6403 2012-03-04
1912273335 Duc Jackson Vugia Preventive Medicine 850 Marina Bay Pkwy, Building P, 2nd Floor, Richmond, CA 94804-6403 2012-03-29
1720374192 Carrie Regnolds Jones Preventive Medicine 850 Marina Bay Pkwy, Bldg.p, Third Floor, Richmond, CA 94804 2011-06-23
1699905281 Donald R Stern Preventive Medicine 400 E Cary St, Richmond, VA 23219-3816 2009-07-17
1922142934 Robert Bruce Stroube Preventive Medicine 109 Governor St, 13th Floor, Richmond, VA 23219-3623 2007-02-16
1346391406 Laura Garawski Forlano Preventive Medicine 109 Governor St, Madison Building, 6th Floor, Richmond, VA 23219-3623 2007-01-16
1386652162 Lilian R Peake Preventive Medicine 109 Governor St, Richmond, VA 23219 2006-08-04
1811937923 David Earl Suttle Preventive Medicine 109 Governor St, 7th Floor, Richmond, VA 23219-3623 2006-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538792403 Elaine Stanek Perry Preventive Medicine 45201 Research Pl Ste 120, Ashburn, VA 20147-2416 2020-02-19
1629546379 Chang-i Wu Preventive Medicine 1530 Clarendon Blvd Apt 700, Arlington, VA 22209-4315 2018-11-09
1922541523 Gregory Burkhart Preventive Medicine 12224 Quorn Ln, Reston, VA 20191-2635 2016-11-30
1114380359 Sean C Mabey Preventive Medicine 2608 Nestlebrook Trl, Virginia Beach, VA 23456-8201 2016-04-04
1407269723 Kim Xuan Luk Preventive Medicine 4480 King St Fl 3, Alexandria, VA 22302-1300 2014-06-04
1225458581 Barbara Louise Johnson Preventive Medicine 412 W Stuart Dr, Galax, VA 24333-2737 2014-04-24
1518397405 Passport Health Holdings LLC Preventive Medicine 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 2013-11-14
1679827687 James J James Preventive Medicine 16422 Wanderers Port Lane, Onancock, VA 23417 2012-10-30
1851667091 Robert Peter Kadlec Preventive Medicine 2209 Traies Ct, Alexandria, VA 22306-2564 2012-03-31
1366728610 Randall Culpepper Preventive Medicine 2034 Eisenhower Ave, Suite 270, Alexandria, VA 22314-5326 2011-11-01
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Competitor

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City RICHMOND
Zip Code 23294

Improve Information

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Dataset Information

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.

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