Phillip R Letada (NPI# 1700862588, PAC ID# 9537342506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1700862588 |
| PAC ID by PECOS | 9537342506 |
| Professional Enrollment ID | I20110329000496 |
| Full Name | Phillip R Letada |
| Organization Legal Name | ATLANTIC DERMATOLOGY ASSOCIATES PC |
| Address |
216 Mason Ave Cape Charles VA 23310-3200 |
| Phone Number | 7574811666200 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2003 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2961455076 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 216 Mason Ave, Cape Charles, VA 23310-3200 | 7574811666200 | ATLANTIC DERMATOLOGY ASSOCIATES PC |
| 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 | 7574811666 | ATLANTIC DERMATOLOGY ASSOCIATES PC |
| Organization Legal Name | ATLANTIC DERMATOLOGY ASSOCIATES PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol L Piatt | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Jonathan L Hindman | Dermatology | Atlantic Dermatology Associates PC | 216 Mason Ave, Cape Charles, VA 23310-3200 |
| Trisha C Beute | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Michele J Gonzales | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Steven D Cronquist | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Kristen Overstreet Martin | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Rachel M Ellis | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Lynn M Utecht | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Vikas Shrivastava | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Virginia Beach, VA 23454-2409 |
| Thomas J Hayes | Dermatology | Atlantic Dermatology Associates PC | 1101 1st Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 |
| Street Address |
216 MASON AVE |
| City | CAPE CHARLES |
| State | VA |
| Zip | 23310-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark G Clarke | Family Medicine | Riverside Physician Services Inc | 216 Mason Ave, Cape Charles, VA 23310-3200 |
| David F Dalessio | Family Medicine | Riverside Physician Services Inc | 216 Mason Ave, Cape Charles, VA 23310-3200 |
| Jonathan L Hindman | Dermatology | Atlantic Dermatology Associates PC | 216 Mason Ave, Cape Charles, VA 23310-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Bull Iii | Chiropractic | 117 Mason Ave F, Cape Charles, VA 23310-3135 | |
| Robert E Titcomb | Optometry | 217 Mason Ave, Cape Charles, VA 23310-3201 |
| City | CAPE CHARLES |
| Zip Code | 23310 |
| Specialty | DERMATOLOGY |
| City + Specialty | CAPE CHARLES + DERMATOLOGY |
Please comment or provide details below to improve the information on Phillip R Letada.
| 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.