DR. THEKLA BACHARACH (NPI# 1225442171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225442171 |
| Entity Type | Individual |
| Full Name | DR. THEKLA BACHARACH |
| Credential | M.D. |
| Practice Address |
600 Gresham Dr Ste 8620 Norfolk VA 23507 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4545 |
| Practice Telephone | 7573886402 |
| Mailing Telephone | 8647976306 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | LL37223 | SC | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0116033191 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Grove Rd, 3rd Floor Support Tower, Greenville, SC 296054210 | 8644551435 | 8644551320 |
| Street Address |
600 GRESHAM DR STE 8620 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750450375 | Kenneth J. Cherry | Surgery | 600 Gresham Dr Ste 8620, Norfolk, VA 23507-1904 | 2006-11-07 |
| 1508495045 | Sergio Eduardo Sastriques Dunlop | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 8620, Norfolk, VA 23507-1904 | 2020-04-06 |
| 1275976458 | Andrew Forrest Mcchesney | Surgery | 600 Gresham Dr Ste 8620, Norfolk, VA 23507-1904 | 2013-04-08 |
| 1215193818 | Jonathan Paul Swisher | Surgery | 600 Gresham Dr Ste 8620, Norfolk, VA 23507-1904 | 2008-08-03 |
| 1639349335 | Samuel N Steerman | Surgery | 600 Gresham Dr Ste 8620, Evms Vascular Surgery, Norfolk, VA 23507-1904 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760529309 | Stephen Francis Mccartney | Surgery | 1468 Ingram St, Norfolk, VA 23551-2596 | 2007-01-31 |
| 1750450375 | Kenneth J. Cherry | Surgery | 600 Gresham Dr Ste 8620, Norfolk, VA 23507-1904 | 2006-11-07 |
| 1265485270 | Sentara Medical Group | Surgery | 824 N Military Hwy Ste 100, Norfolk, VA 23502-3652 | 2006-05-19 |
| 1891775532 | Martin Lewis Snyder | Surgery | U.S.fleet Forces Command-command Surgeon, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2006-01-19 |
| 1275976458 | Andrew Forrest Mcchesney | Surgery | 600 Gresham Dr Ste 8620, Norfolk, VA 23507-1904 | 2013-04-08 |
| 1891082343 | Huiting Chen | Surgery | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2011-07-06 |
| 1205065711 | Joseph Cheston Wuamett | Surgery | 600 Gresham Dr, Suite 8620, Norfolk, VA 23507-1904 | 2009-07-06 |
| 1689835514 | Sadaf Sadie Ahanchi | Surgery | 600 Gresham Dr, Suite 8620, Norfolk, VA 23507-1904 | 2008-06-23 |
| 1184806473 | Sentara Medical Group | Surgery | 600 Gresham Dr, Ste 8620, Norfolk, VA 23507-1904 | 2007-11-29 |
| 1831109271 | Earl C . Strayhorn M.d., P.C. | Surgery | 6160 Kempsville Cir, Suite 317 B, Norfolk, VA 23502-3933 | 2006-08-08 |
| 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.