MARK COCKERILL


Address: 150 Kingsley Ln, Norfolk, VA 23505-4602
Phone: 7578895422

MARK COCKERILL (NPI# 1033188537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033188537
Entity Type Individual
Full Name MARK COCKERILL
Credential MD
Practice Address 150 Kingsley Ln
Norfolk
VA 23505-4602
Mailing Address 110 Kingsley Ln Ste 305
Norfolk
VA 23505-4617
Practice Telephone 7578895422
Practice Fax Number 7578895450
Mailing Telephone 7578895422
Mailing Fax Number 7578895450
Enumeration Date 2006-03-16
Last Update Date 2020-02-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
0101055902 VA Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
0101055902 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 7240520 05

Office Location

Street Address 150 KINGSLEY LN
City NORFOLK
State VA
Zip Code 23505-4602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003812785 Patrick B. Higdon Family Medicine 150 Kingsley Ln, Norfolk, VA 23505-4602 2005-06-27
1497385033 Jennifer L Lemasters-stover Nurse Practitioner 150 Kingsley Ln, Norfolk, VA 23505-4602 2020-01-23
1356813083 Sarah West Taylor Clinical Nurse Specialist 150 Kingsley Ln, Norfolk, VA 23505-4602 2018-12-19
1619443009 Amarachi G Agbai Registered Nurse 150 Kingsley Ln, Norfolk, VA 23505-4602 2018-10-23
1043795867 Lindsey Reprogle Physician Assistant 150 Kingsley Ln, Norfolk, VA 23505-4602 2018-09-27
1528549219 Chika I Ogbolu Nurse Practitioner 150 Kingsley Ln, Norfolk, VA 23505-4602 2018-08-22
1457846024 Gia Martin Nurse Practitioner 150 Kingsley Ln, Norfolk, VA 23505-4602 2018-06-26
1295237477 Shannon Coulson Nurse Practitioner 150 Kingsley Ln, Norfolk, VA 23505-4602 2018-03-05
1053834960 Kathryn Alise Gale Nurse Practitioner 150 Kingsley Ln, Norfolk, VA 23505-4602 2017-07-23
1881139434 Corinna Brander Nurse Practitioner 150 Kingsley Ln, Neuroscience Office, Norfolk, VA 23505-4602 2017-01-05
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750914164 Hampton Roads Radiology Associates, PC Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2020-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295232726 Reston Radiology Consultants Interventional Services, LLC Radiology 4001 Fair Ridge Dr Ste 103, Fairfax, VA 22033-2917 2018-04-11
1356789622 Robert John Reyes Radiology 9300 Dewitt Loop Rm 53.218, Fort Belvoir, VA 22060-5285 2013-06-10
1992071385 Elden Paul Iverson Radiology Radiology Associates of Richmond, Inc., 2602 Buford Road, North Chesterfield, VA 23235-3422 2012-03-29
1336372903 Healthqare Services, LLC Radiology 3833 N. Fairfax Drive, Suite 400, Arlington, VA 22203-1774 2009-08-31
1306075064 Auh Whan Park Radiology Lee Sreet Fl 1, Charlottesville, VA 22908-0001 2009-07-02
1407947898 American Access Care of Richmond LLC Radiology 2235 Staples Mill Rd, Richmond, VA 23230-2942 2006-09-28
1073531786 Magnetic Resonance Imaging Associates of Va, PC Radiology 2001 N Beauregard St, Suite 200, Alexandria, VA 22311-1739 2006-07-18
1902823727 Virginia Vascular Imaging LLC Radiology 1201 Sam Perry Blvd # B, Ste 265, Fredericksburg, VA 22401-4490 2006-07-16
1225554900 Association of University Radiologists, PC Radiology 310 3rd St Ne, Norton, VA 24273-1137 2017-08-15
1720451438 Fresenius Vascular Care Petersburg LLC Radiology 445 Charles H Dimmock Pkwy, Suite 101, Colonial Heights, VA 23834-2970 2015-11-03
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Competitor

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City NORFOLK
Zip Code 23505

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Dataset Information

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.

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