MR. ATHAN ANDERSON III (NPI# 1215957469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215957469 |
| Entity Type | Individual |
| Full Name | MR. ATHAN ANDERSON III |
| Practice Address |
4000 Coast Guard Blvd Portsmouth VA 23707-2199 |
| Mailing Address |
1324 Darien Court Virginia Beach VA 23464-8808 |
| Practice Telephone | 7574838710 |
| Practice Fax Number | 7574838716 |
| Mailing Telephone | 7574636674 |
| Mailing Fax Number | 7574838716 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | B1625287 | CA | Emergency Medical Service Providers |
| Street Address |
4000 COAST GUARD BLVD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902882434 | Renard Garcia Scott | Military Health Care Provider | 4000 Coast Guard Blvd, Medical Division, Portsmouth, VA 23703-2135 | 2005-12-16 |
| 1659848729 | Cathy Elaine Guyer | Dental Hygienist | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2018-10-26 |
| 1437522406 | Lisa Rivera | Dental Hygienist | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2015-11-12 |
| 1194192781 | Megan Zieger | Social Worker | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2015-08-31 |
| 1083024665 | Stewart Wesley Calloway | Technician, Other | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-05-05 |
| 1437569209 | Cindy Holbeck | Technician, Other | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-05-02 |
| 1902226236 | Heather Johnson | Military Health Care Provider | 4000 Coast Guard Blvd, Portsmouth, VA 23703 | 2014-04-25 |
| 1619397023 | Eric Luongo | Technician, Health Information | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-04-24 |
| 1316367766 | Amanda Kitson | Technician, Other | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-04-24 |
| 1790105187 | Paul Stuart V | Military Health Care Provider | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851731228 | Michaelena Jo Oberschlake | Emergency Medical Technician, Basic | 1019 Ann St, Apt D3, Portsmouth, VA 23704-2262 | 2013-07-01 |
| 1275974248 | Amber Carlie Reid Ford | Emergency Medical Technician, Basic | 4000 Coast Guard Blvd, Portsmouth, VA 23703 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473465 | Sage Teasley | Emergency Medical Technician, Basic | 11212 Hunting Horse Dr, Fairfax Station, VA 22039-2017 | 2020-06-25 |
| 1417596370 | Misty Lynne Gersley | Emergency Medical Technician, Basic | 701 Independence Cir Ste 201, Virginia Beach, VA 23455-6439 | 2019-12-24 |
| 1649813007 | Gregory M Arnold | Emergency Medical Technician, Basic | 8206 Tyndale Rd, Richmond, VA 23227-1639 | 2019-10-17 |
| 1124517636 | Hiba Tur Rafiq | Emergency Medical Technician, Basic | 117 Austin Dr, Stafford, VA 22556-1332 | 2018-05-09 |
| 1669973913 | Elizabeth Keesler | Emergency Medical Technician, Basic | 775 Gateway Dr Se, Apt. 516, Leesburg, VA 20175-4045 | 2018-02-22 |
| 1518492990 | April Everton | Emergency Medical Technician, Basic | 203 Sir John Way, Seaford, VA 23696-2474 | 2017-04-24 |
| 1184157109 | Dessalegn Techane Assefa I | Emergency Medical Technician, Basic | 5719 Barnwood Dr, North Chesterfield, VA 23234-7711 | 2017-04-06 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1942687702 | Peter Griffin | Emergency Medical Technician, Basic | 1501 Patterson Ave Sw, Apt 6, Roanoke, VA 24016-3258 | 2015-04-30 |
| 1811233455 | Virginia Stephanie Perry | Emergency Medical Technician, Basic | 163 Aden Dr, Strasburg, VA 22657-5276 | 2013-01-01 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
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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.