JESUS L. LIZARZABURU (NPI# 1861490682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861490682 |
| Entity Type | Individual |
| Full Name | JESUS L. LIZARZABURU |
| Credential | M.D. |
| Practice Address |
222 Grafton Dr Yorktown VA 23692-2152 |
| Mailing Address |
860 Omni Blvd Ste 101 Newport News VA 23606-4430 |
| Practice Telephone | 7578987737 |
| Practice Fax Number | 7578988377 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101102625 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 318662 | 01 |
| VA | 5614180 | 05 | |
| VA | RR MEDICARE | 080007665 | 01 |
| Street Address |
222 GRAFTON DR |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23692-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750787495 | Stephanie Barnes | Nurse Practitioner | 222 Grafton Dr, Yorktown, VA 23692-2152 | 2014-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1932687142 | Janice Stewart | Counselor | 3804 George Washington Mem Hwy, Yorktown, VA 23692 | 2018-07-31 |
| 1679063523 | Heritage Pharmacy LLC | Pharmacy | 5922b George Washington Mem Hwy, Yorktown, VA 23692 | 2018-05-16 |
| 1437655461 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 | 2018-03-30 |
| 1730571985 | Sentara Medical Group | Internal Medicine | 100 Enterprise Dr, Yorktown, VA 23692 | 2015-02-25 |
| 1427392315 | Anna Katherina Ristow | Specialist/Technologist | 9300 George Washington Ave, Yorktown, VA 23692 | 2012-11-16 |
| 1225340714 | Jamie Banuski | Voluntary or Charitable | 7307 George Washington Mem Hwy, Pmb511, Yorktown, VA 23692 | 2010-07-13 |
| 1174719793 | Grafton Smile Care | Clinic/Center | 4030 - A George Washington Hwy, Grafton, VA 23692 | 2007-09-18 |
| 1497949713 | Sayward E. Duggan Dds Ms PC | Clinic/Center | 4310 George Washington Memorial Highway, Yorktown, VA 23692 | 2007-08-29 |
| 1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
| Find all providers in zip 23692 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275887366 | Ruth Esther Smith | Family Medicine | 160 Main Rd, Yorktown, VA 23691-5111 | 2012-10-29 |
| 1619178274 | Wayne A Stoutenger | Family Medicine | 105 Jennie Dr, Yorktown, VA 23692-4001 | 2007-05-30 |
| 1700835568 | Timothy Lee Raines | Family Medicine | 3212b Hampton Hwy, Yorktown, VA 23693-4904 | 2006-05-09 |
| 1326013327 | Mark A Litz | Family Medicine | 1420 S. Pilgrim Blvd., Yorktown, IN 47396-9250 | 2006-02-22 |
| 1376514042 | Warren Paul Weixler | Family Medicine | 2855 Denbigh Blvd, Suite A, Yorktown, VA 23692-6501 | 2006-01-30 |
| 1407835812 | Pedro Otilio Nazario | Family Medicine | 1 U S Coast Guard Trn Ctr, Yorktown, VA 23690-5001 | 2006-01-13 |
| 1669478418 | Hawes Campbell IIi | Family Medicine | 307 Cook Rd, Yorktown, VA 23690-9640 | 2005-06-27 |
| 1801438254 | Dena Michelle Mintz | Family Medicine | 6420 B George Washington Memorial Highway, Yorktown, VA 23269 | 2019-10-16 |
| 1326603952 | Riverside Physicain Services Inc | Family Medicine | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2019-05-09 |
| 1174000822 | Annivy Gyaamea Acheampong | Family Medicine | 209 Village Ave Ste P, Yorktown, VA 23693 | 2018-07-25 |
| Find all providers in YORKTOWN | ||||
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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.