HAMPTON ROADS HOSPITALIST GROUP (NPI# 1043549561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043549561 |
| Entity Type | Organization |
| Organization Name | HAMPTON ROADS HOSPITALIST GROUP |
| Practice Address |
3636 High St Portsmouth VA 23707-3236 |
| Mailing Address |
911 Botetourt Gdns Norfolk VA 23507-1816 |
| Practice Telephone | 7575353696 |
| Practice Fax Number | 7576224585 |
| Mailing Telephone | 7575353696 |
| Mailing Fax Number | 7578426364 |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |
| Authorized Official Name | DR. VIKAS THAKRAL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5712307152 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3636 HIGH ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739942 | Joan L Redd | Physical Medicine & Rehabilitation | 3636 High St, Portsmouth, VA 23707-3236 | 2005-09-08 |
| 1265048060 | Dillon Mccarvill | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2020-09-17 |
| 1437769627 | Kenita Murray | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2020-08-03 |
| 1043835101 | Ashleigh Wiggins | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2020-06-14 |
| 1518582188 | Angelo Ambridge | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-06-10 |
| 1003439548 | Kristen Evette Brown | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-05-19 |
| 1912558602 | Starleeka Latasha Roberts | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2019-09-24 |
| 1487208989 | Maryview Hospital | Clinical Medical Laboratory | 3636 High St, Portsmouth, VA 23707-3236 | 2019-08-01 |
| 1326501487 | Magdalys Ortiz | Clinical Nurse Specialist | 3636 High St, Portsmouth, VA 23707-3236 | 2019-04-07 |
| 1629543129 | Lynda Carol Marroletti | Nurse Practitioner | 3636 High St, Portsmouth, VA 23707-3236 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1659552156 | Olumuyiwa Ojediran, M.d P.c | Internal Medicine | 734 S Sycamore St, Petersburg, VA 23803-5817 | 2007-11-26 |
| 1376760140 | Richard Homer Bright | Internal Medicine | 94 Longview Cir, Fishersville, VA 22939-2004 | 2007-04-20 |
| 1881795557 | Bon Secours Memorial Regional Medical Center LLC | Internal Medicine | 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060-3452 | 2006-09-26 |
| 1730116575 | Alok Rustogi | Internal Medicine | 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 | 2006-06-27 |
| 1306802426 | Martha A. Griswold | Internal Medicine | 173 Waterfront Dr, Colonial Heights, VA 23834-2181 | 2006-04-26 |
| 1700042231 | Michael Tobeh Kometa | Internal Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2008-08-04 |
| 1487867958 | Kaveh Ofogh | Internal Medicine | 301 Concourse Blvd, Suite# 210, Glen Allen, VA 23059 | 2007-05-08 |
| 1942364617 | Centre Pointe Health Specialties | Internal Medicine | 3920 Plank Rd, 120, Fredericksburg, VA 22407-7104 | 2006-12-20 |
| 1487712394 | Nushin F Todd | Internal Medicine | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-04 |
| 1265513238 | Jeffrey B Conklin | Internal Medicine | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
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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.