Paul Bryan Maloof (NPI# 1316142565, PAC ID# 0345488961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1316142565 |
| PAC ID by PECOS | 0345488961 |
| Professional Enrollment ID | I20130711000764 |
| Full Name | Paul Bryan Maloof |
| Organization Legal Name | TIDEWATER ORTHOPAEDIC ASSOCIATES INC. |
| Address |
5208 Monticello Ave Suite 180 Williamsburg VA 23188-8212 |
| Phone Number | 7578272480 |
| Gender | M |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2466345814 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490093 | SENTARA CAREPLEX HOSPITAL |
| 490066 | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
| 490130 | RIVERSIDE WALTER REED HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 | 7578272480 | TIDEWATER ORTHOPAEDIC ASSOCIATES INC. |
| 5208 Monticello Ave, Suite 180, Williamsburg, VA 23188-8212 | 7578272480 | TIDEWATER ORTHOPAEDIC ASSOCIATES INC. |
| Organization Legal Name | TIDEWATER ORTHOPAEDIC ASSOCIATES INC. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Mcfarland | Physical Therapy | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Nicholas Kapuni Sablan | Orthopedic Surgery | Tidewater Orthopaedic Associates Inc. | 5208 Monticello Ave, Suite 150, Williamsburg, VA 23188-8212 |
| Paula J Gaudio | Occupational Therapy | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Samera Ahmed | Occupational Therapy | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Loel Z Payne | Orthopedic Surgery | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Christopher Ray Foley | Physical Therapy | Tidewater Orthopaedic Associates Inc. | 5208 Monticello Ave, Williamsburg, VA 23188-8212 |
| John Mccarthy | Orthopedic Surgery | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Gabrielle Ann Lanzetta | Physician Assistant | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Colin M Kingston | Sports Medicine | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Kacey M Nadeau | Occupational Therapy | Tidewater Orthopaedic Associates Inc. | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6250 |
| Street Address |
5208 MONTICELLO AVE SUITE 180 |
| City | WILLIAMSBURG |
| State | VA |
| Zip | 23188-8212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Kapuni Sablan | Orthopedic Surgery | Tidewater Orthopaedic Associates Inc. | 5208 Monticello Ave, Suite 150, Williamsburg, VA 23188-8212 |
| Christopher Ray Foley | Physical Therapy | Tidewater Orthopaedic Associates Inc. | 5208 Monticello Ave, Williamsburg, VA 23188-8212 |
| Robert M Campolattaro | Hand Surgery | Tidewater Orthopaedic Associates Inc. | 5208 Monticello Ave, Suite 180, Williamsburg, VA 23188-8212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M D'amico | Clinical Social Worker | 151 Kristiansand Dr, 104a, Williamsburg, VA 23188-1013 | |
| Earl W Flora | Psychologist, Clinical | 3305 Poplar Creek Ln, Williamsburg, VA 23188-1058 | |
| Artie Wilding | Chiropractic | 129 Devon Rd, Williamsburg, VA 23188-1541 | |
| Krista M Pine | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Matthew Joseph Jaeger | Family Medicine | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 | |
| Hasmukh A Vyas | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Norriece Liana Gibson | Geriatric Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Margaret A Loew-cooney | Clinical Social Worker | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| David R Barley | Optometry | 731 E Rochambeau Dr, Williamsburg, VA 23188-2187 | |
| Dennis Gesualdi | Chiropractic | 3204 Ironbound Rd, Suite A, Williamsburg, VA 23188-2410 | |
| Find all physicians in zip 23188 | |||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WILLIAMSBURG + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.