JDG MEDICINE (NPI# 1942603147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942603147 |
| Entity Type | Organization |
| Organization Name | JDG MEDICINE |
| Other Organization Name | CENTER FOR COMPREHENSIVE MEDICINE |
| Practice Address |
397 Little Neck Rd 3300 South Building, Suite 314 Virginia Beach VA 23452-5765 |
| Practice Telephone | 7577732668 |
| Practice Fax Number | 7572994141 |
| Mailing Telephone | 7573218160 |
| Mailing Fax Number | 7572994141 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | DR. JIM-DAVID GAGLIONE (PRESIDENT) |
| Authorized Official Telephone | 7577933644 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101048671 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA | BG3405455 | 01 |
| VA | LICENSE | 0101048671 | 01 |
| VA | NPI | 1487629796 | 01 |
| Other Name | Type Code |
|---|---|
| Center for Comprehensive Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | JDG Medicine P.C. | 3300 South Building, 397 Little Neck Road Ste 314, Virginia Beach, Virginia 23452 |
| Street Address |
397 LITTLE NECK RD 3300 SOUTH BUILDING, SUITE 314 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-5765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886843 | Louis Andrew Fernandez | Chiropractor | 397 Little Neck Rd, Building 3400, Suite 108, Virginia Beach, VA 23452-5765 | 2005-07-29 |
| 1225499676 | Michelle Gideon | Nurse Practitioner | 397 Little Neck Rd, Suite 100, Virginia Beach, VA 23452-5765 | 2016-03-14 |
| 1558641415 | Kara A Kelton | Physician Assistant | 397 Little Neck Rd, Ste 110, Virginia Beach, VA 23452-5765 | 2011-08-24 |
| 1366769911 | Adam T. Lipman | Internal Medicine | 397 Little Neck Rd, 3300 South Building, Suite 202, Virginia Beach, VA 23452-5765 | 2010-04-22 |
| 1043535602 | Siddharth Kishore Bhende | Surgery | 397 Little Neck Rd, 3300 South Building Suite 120, Virginia Beach, VA 23452-5765 | 2010-04-06 |
| 1760704126 | Dynamic Health Services | Clinic/Center | 397 Little Neck Rd, Bldg 3300 Suite 100, Virginia Beach, VA 23452-5765 | 2010-02-25 |
| 1457586133 | Tiffany Logan Jeffries-fernandez | Chiropractor | 397 Little Neck Rd, Bld 3400, Ste 108, Virginia Beach, VA 23452-5765 | 2009-05-24 |
| 1578722476 | Edwin Stuart Epstein | Dermatology | 397 Little Neck Rd, Suite 107, Virginia Beach, VA 23452-5765 | 2008-06-05 |
| 1538330071 | Lorri Annette Howard | Nurse Practitioner | 397 Little Neck Rd, 3300 South Building, Virginia Beach, VA 23452-5765 | 2008-03-12 |
| 1376725655 | Sentara Medical Group | Surgery | 397 Little Neck Rd, Ste 120, Virginia Beach, VA 23452-5765 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
|---|---|---|---|---|
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1699236026 | Helen Everett Frankos | Family Medicine | 748 Sequoia Way, Virginia Beach, VA 23451-4472 | 2019-03-28 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1538699038 | Promethean Group | Family Medicine | 3920 Vanderhorst Dr, Virginia Beach, VA 23462-7531 | 2017-06-16 |
| 1407385172 | Ashley Watson | Family Medicine | 513 Boswell Ct, Virginia Beach, VA 23452-5857 | 2017-06-07 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| 1053754358 | Jonathan Gellman | Family Medicine | 1200 Lake James Dr, Suite 200, Virginia Beach, VA 23464-6773 | 2013-04-17 |
| 1003155045 | Accurate Medical PC | Family Medicine | 3312 Doncaster Rd, Virginia Beach, VA 23452-5920 | 2013-02-12 |
| 1740529072 | Dalene Cheek Evans | Family Medicine | 1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780 | 2013-02-06 |
| 1326334095 | Kari Ann Neamand Cheney | Family Medicine | 1035 Nider Blvd, St 100, Nmcp Branch Health Clinic Boone, Virginia Beach, VA 23459-2731 | 2011-06-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on JDG MEDICINE.
| 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.