DR. GEOFFREY WAYNE LUDFORD (NPI# 1205888393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205888393 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY WAYNE LUDFORD |
| Credential | EDD |
| Practice Address |
3300 Academy Ave Portsmouth VA 23703-3205 |
| Mailing Address |
3300 Academy Avenue Portsmouth VA 23703-3205 |
| Practice Telephone | 7574836404 |
| Practice Fax Number | 7574830737 |
| Mailing Telephone | 7574836404 |
| Mailing Fax Number | 7574830737 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701002140 | VA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0717000203 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005409357 | 05 | |
| VA | ANTHEM BCBS | 214324 | 01 |
| VA | SENTARA/OPTIMA HEALTH INS | O81365 | 01 |
| Street Address |
3300 ACADEMY AVE |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819234 | Velma A Bacak | Psychiatry & Neurology | 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 | 2005-08-24 |
| 1023623436 | Marla Jo Clancy | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2020-09-11 |
| 1598219214 | Angel Marie Williams-kent | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-08-10 |
| 1124473038 | Richardean Benjamin | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-04-28 |
| 1700208873 | Stacie Adrienne Wilson | Psychologist | 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 | 2014-01-09 |
| 1821421454 | Riverside Physician Services Inc | Psychologist | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2013-08-19 |
| 1568715613 | Melissa Gilbert Gomes | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2012-10-25 |
| 1558687954 | Tiffany Davis | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2010-04-12 |
| 1578728820 | Eileen P Pietila | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2008-07-26 |
| 1760412183 | Lana Tucker Williams | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054744 | Ellen Hirshberg | Counselor | 2456 Lafayette Road Suite 12, Portsmouth, NH 03801-0000 | 2020-08-18 |
| 1659998276 | Cheniqua Bene' Goode | Counselor | 4006 Victory Blvd Ste J239, Portsmouth, VA 23701-2844 | 2020-06-30 |
| 1588288021 | Ashley Kay Fayak | Counselor | 309 County St, Portsmouth, VA 23704-3701 | 2020-06-01 |
| 1659919157 | Margaret Twitty Payne | Counselor | 20 Eleanor Ct N, Portsmouth, VA 23701-3600 | 2019-12-15 |
| 1124687652 | Joseph Benjamin Atanacio | Counselor | 5694 Craneybrook Ln Apt B, Portsmouth, VA 23703-1729 | 2019-06-09 |
| 1609384171 | Nina Jordan | Counselor | 1394 Wool Ave, Portsmouth, VA 23707-3516 | 2018-01-17 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1376072728 | Cathy Manier | Counselor | 110 Afton Parkway, Portsmouth, VA 23702 | 2017-06-08 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1275993677 | Lindsey Christine Chase | Counselor | 103 Riverview Ave, Portsmouth, VA 23704-1918 | 2016-02-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
Please comment or provide details below to improve the information on DR. GEOFFREY WAYNE LUDFORD.
| 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.