EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (NPI# 1225282569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225282569 |
| Entity Type | Organization |
| Organization Name | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION |
| Other Organization Name | EVMS MEDICAL GROUP |
| Practice Address |
5900 Lake Wright Dr Ste B Norfolk VA 23502-1871 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7572135770 |
| Practice Fax Number | 7576270334 |
| Mailing Telephone | 7574516200 |
| Mailing Fax Number | 7574516251 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | JAMES F LIND JR. (CEO) |
| Authorized Official Telephone | 7574516200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EVMS Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887118 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 4111 Monarch Way, Suite 500, Norfolk, VA 23508-2559 | 2006-01-27 |
| 1518376086 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 721 Fairfax Ave, Suite 200, Norfolk, VA 23507-2007 | 2014-08-08 |
| 1740699735 | Evms Academic Physicians and Surgeons Health Services Foundation | Internal Medicine | 301 Riverview Ave, Suite 670, Norfolk, VA 23510-1065 | 2014-08-05 |
| 1881848091 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2008-11-14 |
| 1124272463 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2008-11-13 |
| 1023262367 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2008-11-13 |
| 1659385292 | Evms Academic Physicians and Surgeons Health Services Foundation | Clinical Medical Laboratory | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2006-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EVMS Academic Physicians and Surgeons Health Services Foundation | 4111 Monarch Way, Suite 500, Norfolk, Virginia 23508 |
| Street Address |
5900 LAKE WRIGHT DR STE B |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447216866 | David M. Randolph | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174693063 | Andrew Stuart Camarata | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2006-11-08 |
| 1447216866 | David M. Randolph | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2006-04-25 |
| 1134126220 | Bradley Robert Prestidge | Radiology | 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4629 | 2005-07-05 |
| 1073955001 | Bon Secours Depaul Medical Center Inc | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2013-07-18 |
| 1750510236 | Edwin Fulghum Crandley | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-07-06 |
| 1023242583 | Hadi Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2009-05-12 |
| 1639311632 | Erik Karl Lappinen | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-04-06 |
| 1881848091 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2008-11-14 |
| 1336354745 | Lara P Bonner Millar | Radiology | 600 Gresham Dr, Radiation Oncology, Norfolk, VA 23507-1904 | 2007-05-11 |
| 1114011939 | Mohammed Khaled Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2006-10-03 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION.
| 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.