DR. MARIE J MANICKAVASAGAR (NPI# 1215011150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215011150 |
| Entity Type | Individual |
| Full Name | DR. MARIE J MANICKAVASAGAR |
| Other Name | DR. MARIE J LUCAS |
| Credential | M.D |
| Practice Address |
830 Southampton Ave Norfolk VA 23510-1001 |
| Practice Telephone | 7576832889 |
| Practice Fax Number | 7576832740 |
| Mailing Telephone | 7576832889 |
| Mailing Fax Number | 7576832740 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101023631 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
830 SOUTHAMPTON AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23510-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386686731 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 830 Southampton Ave, Suite 200, Norfolk, VA 23510-1001 | 2006-06-11 |
| 1073005625 | Stephen H. Mccoy | Orthopaedic Surgery | 830 Southampton Ave, Norfolk, VA 23510-1001 | 2018-05-30 |
| 1497025647 | Lauren Gabrielle Johnson | Nurse Practitioner | 830 Southampton Ave, Suite 200, Norfolk, VA 23510-1001 | 2012-01-05 |
| 1255535985 | Babatunde Louis Stokes | Pathology | 830 Southampton Ave, Suite# 100, Norfolk, VA 23510-1001 | 2007-06-14 |
| 1710039565 | Lisa Mccoy | Preventive Medicine | 830 Southampton Ave, Suite 200, Norfolk, VA 23510-1001 | 2007-01-18 |
| 1033273354 | Norfolk Department of Public Health | Clinic/Center | 830 Southampton Ave, Norfolk, VA 23510-1001 | 2006-12-21 |
| 1568522803 | Denise Smith Mourning | Nurse Practitioner | 830 Southampton Ave, Norfolk, VA 23510-1001 | 2006-12-09 |
| 1609964014 | Lorraine Stample Finkbeiner | Nurse Practitioner | 830 Southampton Ave, Tidewater Child Development Clinic, Norfolk, VA 23510 | 2006-10-11 |
| 1396838025 | Patricia Ransel Jennings | Physician Assistant | 830 Southampton Ave, Norfolk Health Department, Norfolk, VA 23510-1001 | 2006-10-02 |
| 1245247725 | Catherine Billups Roberts | Nurse Practitioner | 830 Southampton Ave, Norfolk, VA 23510-1001 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
| 1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
| 1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
| 1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| 1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
| Find all providers in zip 23510 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1629549779 | Cleanslate Medical Group of Virginia, LLC | Internal Medicine | 160 Kingsley Ln Ste 303, Norfolk, VA 23505-4600 | 2018-12-16 |
| 1548756372 | Arfa Ahmad | Internal Medicine | 601 Pembroke Ave Apt 502, Norfolk, VA 23507-2050 | 2018-07-04 |
| 1124517966 | Shawn Steven Sell | Internal Medicine | 600 Gresham Dr Fl 2, Norfolk, VA 23507-1904 | 2018-05-08 |
| 1760912968 | Dipan Oza | Internal Medicine | 358 Mowbray Arch Ste 203205, Norfolk, VA 23507-2219 | 2017-06-20 |
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1366837528 | Ashleigh Long | Internal Medicine | Sentara Norfolk General Hospital, 600 Gresham Drive, Norfolk, VA 23507 | 2015-04-03 |
| 1366861148 | Chad Kloefkorn | Internal Medicine | 1706 Hampton Blvd Apt 2, Norfolk, VA 23517-1625 | 2014-04-09 |
| 1245679364 | David Amos | Internal Medicine | 825 Fairfax Ave Ste 429, Norfolk, VA 23507-1914 | 2013-06-21 |
| 1134482466 | Albert Cheung | Internal Medicine | 241 Corporate Blvd Ste 210, Norfolk, VA 23502-4965 | 2012-06-21 |
| 1154558997 | Priyanka Amit Patel | Internal Medicine | 6160 Kempsville Cir Ste 325, Norfolk, VA 23502-3933 | 2009-06-19 |
| Find all providers in NORFOLK | ||||
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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.