MEDFREBS, INC (NPI# 1962025502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962025502 |
| Entity Type | Organization |
| Organization Name | MEDFREBS, INC |
| Practice Address |
4725 Portsmouth Blvd Portsmouth VA 23701-2307 |
| Practice Telephone | 7574888888 |
| Practice Fax Number | 7574880860 |
| Mailing Telephone | 7574888888 |
| Mailing Fax Number | 7574880860 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | MRS. ESMERALDA ESQUIVEL SORIANO (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7574888888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MEDFRES, Inc | Former Legal Business Name - Organization |
| Street Address |
4725 PORTSMOUTH BLVD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23701-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164441218 | Franklin M Soriano Jr. | Family Medicine | 4725 Portsmouth Blvd, Portsmouth, VA 23701-2307 | 2006-07-19 |
| 1679029466 | Medfres, Inc | Point of Service | 4725 Portsmouth Blvd, Portsmouth, VA 23701-2307 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in zip 23701 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205813 | Hampton Vamc | Clinic/Center | 600 Crawford St, Ste 300 and 400, Portsmouth, VA 23704 | 2020-08-13 |
| 1861439101 | Manchester Vamc | Clinic/Center | 302 Newmarket St, Building 15, Pease Air National Guard Base, Portsmouth, NH 03803-0001 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730698 | Richmond Vamc | Clinic/Center | 7702 E Parham Rd Ste 201, Richmond, VA 23294-4372 | 2020-11-03 |
| 1629448469 | Hampton Vamc | Clinic/Center | 1987 S Military Hwy, Chesapeake, VA 23320-4422 | 2015-10-06 |
| 1609250455 | Safe Hands Home Health Care LLC | Clinic/Center | 116 Nancy Dr Apt W1, Suffolk, VA 23434-4894 | 2015-07-11 |
| 1316335680 | Mountain Home Vamc | Clinic/Center | 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 | 2015-01-08 |
| 1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
| 1306234448 | Mountain Home Vamc | Clinic/Center | 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 | 2014-12-23 |
| 1114292737 | Eyecare Center Corp | Clinic/Center | 4229 Jefferson Oaks Cir, K, Fairfax, VA 22033-4071 | 2012-03-14 |
| 1427353614 | Ardis Dentistry | Clinic/Center | 1445 Johnston Willis Drive, Suite A, Cjw Medical Center, Richmond, VA 23235-4885 | 2011-01-19 |
| 1124337258 | Danny J. Minor, D.c.,p.c. | Clinic/Center | 936 Park Ave Nw, Norton, VA 24273-1821 | 2010-10-07 |
| 1598072902 | Richmond Vamc | Clinic/Center | 1746 E Atlantic St, Emporia, VA 23847-6584 | 2010-09-07 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23701 |
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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.