DR. CHAD M MCKENZIE (NPI# 1114925500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114925500 |
| Entity Type | Individual |
| Full Name | DR. CHAD M MCKENZIE |
| Credential | D.O. |
| Practice Address |
5818 Harbour View Blvd Ste 240 Suffolk VA 23435 |
| Practice Telephone | 7573972383 |
| Practice Fax Number | 7573975201 |
| Mailing Telephone | 7573972383 |
| Mailing Fax Number | 7573975201 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2018-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0102201282 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 276458 | 01 |
| VA | MEDICARE RAILROAD | 770003026 | 01 |
| VA | OPTIMA | 51895 | 01 |
| VA | 007312393 | 05 | |
| NC | MEDICAID OF N.C. | 89065C3 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982738217 | Chad A Mckenzie | Technician/Technologist | 1213 15th Ave W, Williston, ND 58801-3800 | 2007-03-16 |
| 1821077496 | Chad Eric Mckenzie | Pharmacist | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2006-01-12 |
| Street Address |
5818 HARBOUR VIEW BLVD STE 240 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791687 | Cecelia M Scotece | Physician Assistant | 5818 Harbour View Blvd, Suite 230, Suffolk, VA 23435-3315 | 2005-06-27 |
| 1184287898 | Charles Joseph Fairbanks | Physical Therapy Assistant | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 | 2019-04-18 |
| 1295197069 | Samantha Marie Persson Marshall | Nurse Practitioner | 5818 Harbour View Blvd, Suite 200, Suffolk, VA 23435 | 2016-03-22 |
| 1528420429 | Plastic Surgery Associates of Tidewater | Nurse Practitioner | 5818 Harbour View Blvd, Suite 200, Suffolk, VA 23435-3315 | 2016-03-22 |
| 1942614235 | Katherine Stephenson Loose | Physician Assistant | 5818 Harbour View Blvd, Suite 200, Suffolk, VA 23435-3315 | 2014-06-16 |
| 1700206653 | Brittny Pope | Dietitian, Registered | 5818 Harbour View Blvd, Suite B2, Suffolk, VA 23435-3315 | 2014-04-18 |
| 1093044463 | Pamela Michele Smith | Registered Nurse | 5818 Harbour View Blvd, Suite 240, Suffolk, VA 23435-3315 | 2009-12-15 |
| 1053557793 | Maryview Hospital | Clinic/Center | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 | 2008-12-31 |
| 1679765804 | Joseph Lawrence Frenkel | Colon & Rectal Surgery | 5818 Harbour View Blvd, Suite B-2, Suffolk, VA 23435-3315 | 2007-08-12 |
| 1427254465 | Dorothy R Critzer | Emergency Medicine | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 | 2007-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083073464 | Sentara Medical Group | Surgery | 3920 Bridge Rd, Ste 202, Suffolk, VA 23435-1117 | 2016-02-15 |
| 1982884557 | Sentara Medical Group | Surgery | 2790 Godwin Blvd, Ste 305, Suffolk, VA 23434-8151 | 2007-11-12 |
| 1770770380 | Genesis Aesthetic Face and Vein Specialists, PC | Surgery | 1500 Breezeport Way, Suite 100, Suffolk, VA 23435-3727 | 2007-09-27 |
| 1730389859 | Surgical Specialties, Inc. | Surgery | 2790 Godwin Blvd, Suite 225, Suffolk, VA 23434-8151 | 2007-07-18 |
| 1598985459 | Joseph Peter Barreca Jr. | Surgery | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2007-04-25 |
| 1649334343 | Howard Hamilton Harris IIi | Surgery | 2790 Godwin Blvd, Suite 225, Suffolk, VA 23434-8151 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670930 | Usa Vein Clinics of Chantilly LLC | Surgery | 3914 Centreville Rd Ste 125, Chantilly, VA 20151-3289 | 2019-07-11 |
| 1285115998 | Sentara Medical Group | Surgery | 397 Little Neck Rd Ste 110, Virginia Beach, VA 23452-5774 | 2018-08-22 |
| 1629586417 | Sentara Medical Group | Surgery | 1051 Loftis Blvd Ste 210, Newport News, VA 23606-3069 | 2018-01-16 |
| 1942724620 | Sentara Medical Group | Surgery | 500 Sentara Cir Ste 100, Williamsburg, VA 23188-5727 | 2017-08-03 |
| 1972980761 | Carlos Jose Torres-medina | Surgery | 500 J Clyde Morris Blvd # 603, Newport News, VA 23601-1929 | 2015-04-30 |
| 1306280128 | Justin Marc Milligan | Surgery | 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 | 2013-04-23 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1346503463 | Mid Atlantic Vascular Holding, LLC | Surgery | 1415 Eastridge Rd, Richmond, VA 23229-5501 | 2012-06-22 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
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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.