EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (NPI# 1003887118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003887118 |
| Entity Type | Organization |
| Organization Name | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION |
| Other Organization Name | EVMS MEDICAL GROUP |
| Practice Address |
4111 Monarch Way Suite 500 Norfolk VA 23508-2559 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7574516200 |
| Practice Fax Number | 7574516251 |
| Mailing Telephone | 7574516200 |
| Mailing Fax Number | 7574516251 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | MR. JAMES F LIND JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7574516200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EVMS Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518376086 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 721 Fairfax Ave, Suite 200, Norfolk, VA 23507-2007 | 2014-08-08 |
| 1740699735 | Evms Academic Physicians and Surgeons Health Services Foundation | Internal Medicine | 301 Riverview Ave, Suite 670, Norfolk, VA 23510-1065 | 2014-08-05 |
| 1881848091 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2008-11-14 |
| 1124272463 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2008-11-13 |
| 1225282569 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2008-11-13 |
| 1023262367 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2008-11-13 |
| 1659385292 | Evms Academic Physicians and Surgeons Health Services Foundation | Clinical Medical Laboratory | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2006-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EVMS Academic Physicians and Surgeons Health Services Foundation | 4111 Monarch Way, Suite 500, Norfolk, Virginia 23508 |
| Street Address |
4111 MONARCH WAY SUITE 500 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23508-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932617016 | Ross Stanton Barrett | Speech-Language Pathologist | 4111 Monarch Way, Norfolk, VA 23508 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
| 1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
| 1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
| 1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
| 1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
| 1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
| 1174754063 | Dominion Medical Supplies | Durable Medical Equipment & Medical Supplies | 4110 Granby St, Norfolk, VA 23508 | 2009-07-27 |
| 1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
| 1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
| Find all providers in zip 23508 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549779 | Cleanslate Medical Group of Virginia, LLC | Internal Medicine | 160 Kingsley Ln Ste 303, Norfolk, VA 23505-4600 | 2018-12-16 |
| 1548756372 | Arfa Ahmad | Internal Medicine | 601 Pembroke Ave Apt 502, Norfolk, VA 23507-2050 | 2018-07-04 |
| 1124517966 | Shawn Steven Sell | Internal Medicine | 600 Gresham Dr Fl 2, Norfolk, VA 23507-1904 | 2018-05-08 |
| 1760912968 | Dipan Oza | Internal Medicine | 358 Mowbray Arch Ste 203205, Norfolk, VA 23507-2219 | 2017-06-20 |
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1366837528 | Ashleigh Long | Internal Medicine | Sentara Norfolk General Hospital, 600 Gresham Drive, Norfolk, VA 23507 | 2015-04-03 |
| 1366861148 | Chad Kloefkorn | Internal Medicine | 1706 Hampton Blvd Apt 2, Norfolk, VA 23517-1625 | 2014-04-09 |
| 1245679364 | David Amos | Internal Medicine | 825 Fairfax Ave Ste 429, Norfolk, VA 23507-1914 | 2013-06-21 |
| 1134482466 | Albert Cheung | Internal Medicine | 241 Corporate Blvd Ste 210, Norfolk, VA 23502-4965 | 2012-06-21 |
| 1154558997 | Priyanka Amit Patel | Internal Medicine | 6160 Kempsville Cir Ste 325, Norfolk, VA 23502-3933 | 2009-06-19 |
| 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.