DR. MARK MILITANA (NPI# 1104872019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104872019 |
| Entity Type | Individual |
| Full Name | DR. MARK MILITANA |
| Credential | MD |
| Practice Address |
804 South Adams Street Petersburg VA 23803 |
| Mailing Address |
1101 W Franklin St Richmond VA 23220-3709 |
| Practice Telephone | 8048625680 |
| Practice Fax Number | 8048625698 |
| Mailing Telephone | 8043703082 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101045615 | VA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2014-02252 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
804 SOUTH ADAMS STREET |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020351 | Emilie J Redding | Emergency Medicine | 14535 Boy Scout Trl, Petersburg, IL 62675-6230 | 2006-09-06 |
| 1609856566 | Eniola Adebayo Okelana | Emergency Medicine | 433b S Sycamore St, Petersburg, VA 23803-5042 | 2006-01-18 |
| 1730565128 | Tri-county Emergency Physicians LLC | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-08-07 |
| 1447660410 | Freud Milice | Emergency Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2014-04-30 |
| 1093135196 | Michael W Cieslinski | Emergency Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2014-04-16 |
| 1528480712 | National Emergency Services West Virginia Inc | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2014-01-08 |
| 1659711455 | Matthew Shannon Johnson | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2013-06-26 |
| 1437412293 | Brendan D Mccay | Emergency Medicine | 200 Medical Park Blvd, Em: Emergency Medicine, Petersburg, VA 23805-9274 | 2012-06-18 |
| 1225398027 | Virginia Emergency Group, LLC | Emergency Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2012-05-25 |
| 1598055642 | Sharita Nicolle Johnson | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2011-04-11 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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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.