MARK ANTHONY FUSCO (NPI# 1962457010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962457010 |
| Entity Type | Individual |
| Full Name | MARK ANTHONY FUSCO |
| Credential | PA-C, MPAS |
| Practice Address |
110 Kingsley Ln Suite 312 Norfolk VA 23505-4614 |
| Practice Telephone | 7573542885 |
| Practice Fax Number | 7578895742 |
| Mailing Telephone | 7573542885 |
| Mailing Fax Number | 7578895742 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110840582 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003154253 | Mark J. Fusco | Pharmacist | 377 Tarrytown Rd, White Plains, NY 10607-1423 | 2013-01-23 |
| Street Address |
110 KINGSLEY LN SUITE 312 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459347 | Migdonia Montejo | Specialist | 110 Kingsley Ln, Suite 106, Norfolk, VA 23505-4614 | 2005-07-07 |
| 1841647120 | Kristi Meibers | Nurse Practitioner | 110 Kingsley Ln, Ste 309, Norfolk, VA 23505-4614 | 2016-05-17 |
| 1093173528 | Ebony Shanay Canady | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2016-01-28 |
| 1588036602 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 110 Kingsley Ln, Ste. 403, Norfolk, VA 23505-4614 | 2015-10-28 |
| 1073989240 | Tidewater Speech and Language Services | Speech-Language Pathologist | 110 Kingsley Ln, Suite 209, Norfolk, VA 23505-4614 | 2015-08-11 |
| 1346632601 | Lakeisha O'neal | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2015-02-24 |
| 1023423340 | Laura Riddle | Nurse Practitioner | 110 Kingsley Ln, Suite 411, Norfolk, VA 23505-4614 | 2014-06-25 |
| 1255760997 | Anne Chisman Abraham | Social Worker | 110 Kingsley Ln, Suite 401, Norfolk, VA 23505-4614 | 2013-11-04 |
| 1184961690 | David T. Marshall, Dds, PC | Dentist | 110 Kingsley Ln, Suite 203, Norfolk, VA 23505-4614 | 2013-01-04 |
| 1003163171 | Maryview Hospital | Counselor | 110 Kingsley Ln, Ste 206, Norfolk, VA 23505-4614 | 2012-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1205345584 | Cassandra Lee Elverum | Physician Assistant | 600 Childrens Ln, Norfolk, VA 23507 | 2017-09-29 |
| 1790904456 | Thomas George Parish | Physician Assistant | 700 W Olney Rd, Norfolk, VA 23507-1607 | 2007-04-24 |
| 1649345372 | Ronald E Nave | Physician Assistant | 814 Kempsville Rd Ste 104, Norfolk, VA 23502-4001 | 2006-11-21 |
| 1073581823 | Karen Hintz Charlton | Physician Assistant | 1035 Nidar Blvd, Norfolk, VA 23521 | 2006-03-09 |
| 1902876931 | Mark Alan Gellasch | Physician Assistant | Branch Medical Clinic Norfolk, 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-24 |
| 1073132551 | Ashley Makie | Physician Assistant | 3 Cedar St, Norfolk, MA 02056-1566 | 2020-04-14 |
| 1376179465 | Emily J Laughlin | Physician Assistant | 6379 Center Dr, Norfolk, VA 23502-4102 | 2020-03-20 |
| 1629604095 | Erin Anne Gray | Physician Assistant | 100 Kingsley Ln Ste 400, Norfolk, VA 23505-4604 | 2020-03-18 |
| Find all providers in NORFOLK | ||||
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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.