WARREN SKINNER


Address: 1840 Gator Blvd, Virginia Beach, VA 23459-8931
Phone: 7577632198

WARREN SKINNER (NPI# 1073810917) 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) 1073810917
Entity Type Individual
Full Name WARREN SKINNER
Credential IDC
Practice Address 1840 Gator Blvd
Virginia Beach
VA 23459-8931
Practice Telephone 7577632198
Enumeration Date 2011-02-11
Last Update Date 2011-02-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers WARREN SKINNER

NPI Name Taxonomy Address Enumeration
1598182537 Warren Skinner Counselor 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 2014-03-27

Office Location

Street Address 1840 GATOR BLVD
City VIRGINIA BEACH
State VA
Zip Code 23459-8931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467630947 Jose Omar Vargas Military Health Care Provider 1840 Gator Blvd, Bldg: 3841, Virginia Beach, VA 23459-8931 2008-02-06
1164859930 Barry Bertolasio Military Health Care Provider 1840 Gator Blvd, Building 3841, Virginia Beach, VA 23459-8931 2013-10-10
1043486855 Tadeo E O'brien Military Health Care Provider 1840 Gator Blvd, Virginia Beach, VA 23459-8931 2008-05-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497218556 Carli Michelle Deitel Student in an Organized Health Care Education/Training Program Uss Carter Hall, Virginia Beach, VA 23459 2019-04-07
1508395021 Graham Christian Ellis Internal Medicine Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 2017-06-08
1346686888 Jonathan Kan Military Health Care Provider 1855 Helicopter Road, Virginia Beach, VA 23459 2013-05-10
1710276480 Michael Monroe Military Health Care Provider 2520 Midway Rd, Ste 200, Eodmu Two Medical Dept, Virginia Beach, VA 23459 2011-04-04
1922214378 Zachary Dukane Pryor Military Health Care Provider 1745 10th Street, Beach Master Unit Two, Virginia Beach, VA 23459 2007-05-15
1962561118 James Andrew Church Nurse Practitioner 642 New Guinea Rd, Ft. Story, VA 23459 2006-12-06
1134226988 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 649 New Guinea Rd, Ft Story, VA 23459 2006-09-20
1376946897 Lydia Kay Andaya Military Health Care Provider 2220 Schofield Rd, Virginia Beach, VA 23459 2014-09-29
1326467754 Sajeewane Manjula Seales Family Medicine Naval Medical Center Portsmouth, 1035 Nider Blvd, Virginia Beach, VA 23459 2014-04-14
1255677332 Daniel Wayne Davis Physician Assistant 1035 Nider Blvd, Suite 100, Virginia Beach, VA 23459 2012-12-18
Find all providers in zip 23459

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306455522 Kevin Bradley Military Health Care Provider 903 13th St, Virginia Beach, VA 23451-4476 2020-07-23
1851900088 Seth Walter Military Health Care Provider 1825 Olympic Dr, Virginia Beach, VA 23453-3720 2020-07-23
1912545534 Ashton Neal Burnett Military Health Care Provider 1875 Cove Rd Bldg 3806, Virginia Beach, VA 23459-8911 2019-12-13
1578056743 Elis Bojaxhi Military Health Care Provider 3044 Ashlawn Ter, Virginia Beach, VA 23452-6508 2018-06-12
1497298616 Mario Zavala Military Health Care Provider 408 N Amsterdam Ct, Virginia Beach, VA 23454-4213 2016-11-19
1568904738 Pierce Cogburn Military Health Care Provider 3985 Old Forge Rd, Virginia Beach, VA 23452-2173 2016-11-04
1851841449 John Douglas Moore Military Health Care Provider 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 2016-10-07
1730559618 Aaron Joseph Cortina Military Health Care Provider 2340 Amphibious Dr, Bldg 2012 Suite 125, Virginia Beach, VA 23459-8810 2015-10-05
1427430297 Daniel Anthony Leonesio Military Health Care Provider 1432 Pandoria Ct, Virginia Beach, VA 23455-3738 2015-06-29
1346659570 Nicholas Charles Edward Rohde Military Health Care Provider 4946 Juno Rd, Virginia Beach, VA 23455-2244 2014-08-13
Find all providers in VIRGINIA BEACH

Competitor

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City VIRGINIA BEACH
Zip Code 23459

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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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