ELIZABETH M BAREA


Address: 1925 Glenn Mitchell Dr Ste 100, Va Beach, VA 23456-0170
Phone: 7576898430

ELIZABETH M BAREA (NPI# 1922523489) 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) 1922523489
Entity Type Individual
Full Name ELIZABETH M BAREA
Other Name ELIZABETH M MCCABE
Credential PA
Practice Address 1925 Glenn Mitchell Dr Ste 100
Va Beach
VA 23456-0170
Mailing Address Po Box 7068
Portsmouth
VA 23707-0068
Practice Telephone 7576898430
Practice Fax Number 7576898435
Mailing Telephone 7576863508
Mailing Fax Number 7576860541
Enumeration Date 2017-08-07
Last Update Date 2019-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
00110005847 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1925 GLENN MITCHELL DR STE 100
City VA BEACH
State VA
Zip Code 23456-0170

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952720096 Joel Okechukwu Anyiwo Family Medicine 1925 Glenn Mitchell Dr Ste 100, Va Beach, VA 23456 2014-04-15
1700851953 Warren E Austin Internal Medicine 1925 Glenn Mitchell Dr Ste 100, Va Beach, VA 23456-0170 2006-02-21

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1881034023 Kimberly Ann Benson Dentist 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 2013-07-02
1124378450 Phyllis A. Wilson Psychologist 1249 Eagle Way, Virginia Beach, VA 23456 2012-09-13
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518319300 Jocelyn B Oleshansky Physician Assistant 6632 Indian River Rd, Va Beach, VA 23464-3442 2016-07-06
1659736775 Austin M Brett Physician Assistant 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 2015-12-16
1073996070 Jewel D Burden Physician Assistant 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 2015-07-08
1184004475 Kodi J Puckett Physician Assistant 4092 Foxwood Dr, Ste 100, Va Beach, VA 23462-5225 2015-06-02
1083009427 Thomas Lesinski Physician Assistant 4092 Foxwood Dr, 101, Va Beach, VA 23462-5225 2015-04-02
1093126179 Lauren K Paluch Physician Assistant 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 2014-05-12
1407267644 Rosecheryl Ferrer Danao Physician Assistant 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 2014-05-09
1457776049 Angela Widler Physician Assistant 4092 Foxwood Dr, Va Beach, VA 23462-5225 2014-02-19
1700208725 Janice E Guynn Physician Assistant 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 2014-01-10

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NPI Name Taxonomy Address Enumeration
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Competitor

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City VA BEACH
Zip Code 23456

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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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