ANTHONY JOHN DEROSA (NPI# 1235134214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235134214 |
| Entity Type | Individual |
| Full Name | ANTHONY JOHN DEROSA |
| Credential | M.D. |
| Practice Address |
860 Omni Blvd Suite 201 Newport News VA 23606-4430 |
| Mailing Address |
860 Omni Blvd Suite 303 Newport News VA 23606-4430 |
| Practice Telephone | 7572235321 |
| Practice Fax Number | 7572237271 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101056744 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE | 180035098 | 01 |
| NC | NC MEDICAID | 890588L | 01 |
| VI | OPTIMA | 10057 | 01 |
| VA | 6304991 | 05 | |
| VI | ANTHEM BC/BS | 242760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750438438 | Anthony Derosa | Psychologist | 997 Boardman Canfield Rd, Boardman, OH 44512-4223 | 2007-01-04 |
| 1285723189 | Anthony Derosa | Physical Therapist | 333 Route 25a, Suite 240, Rocky Point, NY 11778-8556 | 2006-10-11 |
| Street Address |
860 OMNI BLVD SUITE 201 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719792 | Ericka Christine Lavin | Advanced Practice Midwife | 860 Omni Blvd, Newport News, VA 23606-4434 | 2018-02-08 |
| 1780197236 | Catherine Meyer | Physician Assistant | 860 Omni Blvd, Newport News, VA 23606-4434 | 2017-11-07 |
| 1740631464 | Lindsay Leonard | Physical Therapist | 860 Omni Blvd, Suite 103, Newport News, VA 23606-4434 | 2016-06-23 |
| 1831560853 | Amy Mcallister | Physical Therapist | 860 Omni Blvd, Ste 103, Newport News, VA 23606-4434 | 2015-10-16 |
| 1811379423 | Chelsea Goff | Physical Therapist | 860 Omni Blvd, Ste 103, Newport News, VA 23606 | 2015-06-19 |
| 1376923003 | Michael Mccarthy | Physician Assistant | 860 Omni Blvd, Suite 303, Newport News, VA 23606-4434 | 2015-06-08 |
| 1871983122 | Kregan Brault | Licensed Practical Nurse | 860 Omni Blvd, Suite 110, Newport News, VA 23606-4434 | 2015-01-26 |
| 1376948281 | Carly Breeze Tyler | Advanced Practice Midwife | 860 Omni Blvd, Suite 101, Newport News, VA 23606-4434 | 2014-11-04 |
| 1407285570 | Tracey Elizabeth Hudson | Audiologist | 860 Omni Blvd, Suite 102, Newport News, VA 23606-4434 | 2013-11-08 |
| 1225371685 | Maryann J Cheuvront | Advanced Practice Midwife | 860 Omni Blvd, Suite 101, Newport News, VA 23606-4430 | 2013-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851783 | Robert Marc Jaffee | Ophthalmology | 11800 Rock Landing Dr, Newport News, VA 23606-4206 | 2005-09-14 |
| 1588657837 | Kian Monica Kaz | Ophthalmology | 12690 Mcmanus Blvd, Newport News, VA 23602-4433 | 2005-08-23 |
| 1952367195 | Nadia C Shockley | Ophthalmology | 12690 Mcmanus Blvd, Newport News, VA 23602-4433 | 2006-04-25 |
| 1881655058 | James River Eye Physicians PC | Ophthalmology | 704 Thimble Shoals Blvd, #100, Newport News, VA 23606 | 2006-03-29 |
| 1790753564 | Matthew D Reed | Ophthalmology | 11800 Rock Landing Dr, Newport News, VA 23606-4206 | 2006-03-09 |
| 1578538567 | Robert Peter Larys Jr. | Ophthalmology | 11800 Rock Landing Dr, Newport News, VA 23606-4206 | 2006-02-22 |
| 1316911290 | Steven G Spellman | Ophthalmology | 12420 Warwick Blvd, Bldg. 1, Suite D, Newport News, VA 23606-3001 | 2006-02-15 |
| 1851364772 | Gary Alfred Tanner | Ophthalmology | 11800 Rock Landing Dr, Newport News, VA 23606-4206 | 2006-02-10 |
| 1275503864 | Mary Ellen Cullom | Ophthalmology | 11800 Rock Landing Dr, Newport News, VA 23606-4206 | 2006-01-25 |
| 1760452809 | Steven Elliot Kitay | Ophthalmology | 11800 Rock Landing Dr, Newport News, VA 23606-4206 | 2006-01-23 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
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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.