DR. JOSHUA PAUL DETTMER (NPI# 1083794622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083794622 |
Entity Type | Individual |
Full Name | DR. JOSHUA PAUL DETTMER |
Credential | D.O. |
Practice Address |
620 John Paul Jones Cir Portsmouth VA 23708-2111 |
Mailing Address |
100 Brewster Blvd Naval Hospital Camp Lejeu Ne NC 28547-2538 |
Practice Telephone | 7579539801 |
Practice Fax Number | 7579538011 |
Mailing Telephone | (910) 450-3095 |
Mailing Fax Number | 9104504558 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2017-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0102202094 | VA | Allopathic & Osteopathic Physicians |
Street Address |
620 JOHN PAUL JONES CIR |
City | PORTSMOUTH |
State | VA |
Zip Code | 23708-2111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427054840 | Debra Tooke Crowell | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2005-06-21 |
1659970424 | Jennifer T Birchwale | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-22 |
1861091985 | Carin Kimberly Teeters | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-20 |
1275130825 | Dartangion Pierre Walker | Dental Hygienist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-07 |
1750996054 | Kevin Wilfong | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-14 |
1598379901 | Paula Shepard | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-02 |
1578177234 | Rebekah Gunter | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-01 |
1225641863 | Dylan Quoc-chuong Vu | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-08-24 |
1467060111 | Ili Yuan | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-20 |
1750909172 | Marsades Ceasar | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
Find all providers in zip 23708 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1568761716 | Jean Touchan | Internal Medicine | 73 Corporate Dr Ste 201, Portsmouth, NH 03801 | 2011-03-26 |
1518122779 | Whitney Coppolino | Internal Medicine | 67 Corporate Dr, Ste 200, Portsmouth, NH 03801 | 2008-07-26 |
1023114154 | Hullukunte Bylappa Shivaprasad | Internal Medicine | 2001 Scioto Trail, Ste 200, Portsmouth, OH 45662 | 2006-09-16 |
1053428862 | Robert J. Accettola | Internal Medicine | 3737 High St, Portsmouth, VA 23707-2405 | 2006-08-25 |
1093821027 | Sriharsha Velury | Internal Medicine | 2001 Scioto Trl Ste 200, Portsmouth, OH 45662-5122 | 2006-08-22 |
1356321442 | Jay Mohamad Hamze | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2006-01-17 |
1205815024 | Harry J Driedger | Internal Medicine | 1870 Coles Blvd, Portsmouth, OH 45662-6900 | 2006-01-10 |
1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
1548711187 | Porsmouth Hospital Corporation | Internal Medicine | 1901 Argonne Rd, Portsmouth, OH 45662-2827 | 2016-10-19 |
1427203652 | Tarun Nagrani | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2008-12-02 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23708 |
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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.