MR. NICHOLAS AARON KILGORE (NPI# 1205356433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205356433 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS AARON KILGORE |
| Practice Address |
472 Polaris St Bldg 586 Virginia Beach VA 23461-1935 |
| Practice Telephone | (757) 862-9999 |
| Mailing Telephone | 7578629999 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
472 POLARIS ST BLDG 586 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23461-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097215 | Steven Brian Bennett | Physician Assistant | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2009-03-09 |
| 1801370382 | Mathieu Cote | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2018-09-20 |
| 1366966962 | Owen Wilhelm Horton | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568841880 | Robert Jadgchew | Specialist/Technologist | 427 Polaris Avenue, Bldg 586, Virginia Beach, VA 23461 | 2015-05-19 |
| 1790925188 | Matthew E Gaffigan | Emergency Medicine | 472 Polaris Blvd, Bldg 586, Virginia Beach, VA 23461 | 2009-02-25 |
| 1740389865 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 | 2006-09-22 |
| 1528209160 | William Joseph Harris Jr. | Military Health Care Provider | 1636 Regulus Ave, Nswdg (n00m), Virginia Beach, VA 23461 | 2009-03-11 |
| 1386844389 | Sean Patrick Miles | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461 | 2007-07-19 |
| 1629090444 | Michele B Olive | Social Worker | 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 | 2006-07-24 |
| 1386019131 | Joseph Biron | Psychologist | 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 | 2015-12-04 |
| 1235101536 | S Scott Olexy | Physician Assistant | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2006-02-02 |
| 1275157745 | Jonathon Daniel Ratkus | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2020-06-01 |
| 1447677398 | Hoa Tan Tran | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2014-03-27 |
| Find all providers in zip 23461 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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] |
| 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 | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23461 |
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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.