PASSPORT HEALTH, INC. (NPI# 1972718716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972718716 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH, INC. |
| Other Organization Name | PASSPORT HEALTH, INC. |
| Practice Address |
2859 Virginia Beach Blvd Virginia Beach VA 23452-7613 |
| Practice Telephone | 7573951350 |
| Mailing Telephone | 7573951350 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | MRS. CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572523344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Passport Health, Inc. | Doing Business As Name - Organization |
| Street Address |
2859 VIRGINIA BEACH BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700851367 | John K Palting | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2006-02-17 |
| 1174015549 | Joslyn Delsignore | Physician Assistant | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2018-06-01 |
| 1952817637 | Velocity Urgent Care, LLC | Clinic/Center | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2017-12-18 |
| 1922463306 | Laurie Beth Dierstein | Social Worker | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2015-12-29 |
| 1417248436 | Olusola Kendra Onayemi | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2011-04-25 |
| 1679736821 | Tracy R Wilson | Nurse Practitioner | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2008-07-08 |
| 1245357813 | Sentara Medical Group | Clinic/Center | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2007-03-26 |
| 1366417321 | Harry T Williams Jr. | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-22 |
| 1871568170 | Lynn M Shimabukuro | Internal Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-21 |
| 1396710786 | Stephen Menefee | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-21 |
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558331256 | David Michael Sack | Preventive Medicine | 6632 Indian River Rd, Virginia Beach, VA 23464-3442 | 2006-01-25 |
| 1942270533 | Mark Hammett | Preventive Medicine | 1168 First Colonial Rd, Virginia Beach, VA 23454-2444 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902456 | Healthstat Inc Kollmorgen Rock Road | Preventive Medicine | 201 W Rock Rd, Radford, VA 24141-4026 | 2020-08-17 |
| 1184235707 | Healthstat Inc Rowe Elliston | Preventive Medicine | 2121 Gardner St, Elliston, VA 24087-3055 | 2020-08-17 |
| 1417568023 | Healthstat Inc Ronile | Preventive Medicine | 701 Orchard Ave, Rocky Mount, VA 24151-1848 | 2020-08-17 |
| 1174134795 | Healthstat Inc Scholle Chilhowie | Preventive Medicine | 50 Deer Valley Rd, Chilhowie, VA 24319-5484 | 2020-08-17 |
| 1497366009 | Healthstat Inc Rowe Salem | Preventive Medicine | 1972 Salem Industrial Dr, Salem, VA 24153-3148 | 2020-08-17 |
| 1003326737 | Healthstat Onsite Clinic Parkdale Plant 32-35 | Preventive Medicine | 1 Advanced Technology Dr, Hillsville, VA 24343-2701 | 2017-10-09 |
| 1801306659 | Healthstat Onsite Clinic Parkdale Plant 22 | Preventive Medicine | 1012 Glendale Rd, Galax, VA 24333-2504 | 2017-10-06 |
| 1104263615 | Healthstat On-site Clinic/truist Richmond | Preventive Medicine | 901 E Byrd St, Richmond, VA 23219-4052 | 2013-05-24 |
| 1386088466 | Healthstat On-site Clinic/pgi Waynesboro | Preventive Medicine | 1020 Shenandoah Village Dr, Waynesboro, VA 22980-9292 | 2013-04-19 |
| 1083958953 | Healthstat On-site Clinic/medeco | Preventive Medicine | 3625 Alleghany Dr, Salem, VA 24153-1977 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.