MR. LEOCADIO BERNABE PENALOSA JR. (NPI# 1235241092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235241092 |
| Entity Type | Individual |
| Full Name | MR. LEOCADIO BERNABE PENALOSA JR. |
| Credential | MD |
| Practice Address |
301 Goode Way Suite 204 Portsmouth VA 23704 |
| Practice Telephone | 7573975301 |
| Practice Fax Number | 7573979536 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101024989 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | 21004 | 01 |
| VA | 5693519 | 05 | |
| VA | ANTHEM | 031655 | 01 |
| Street Address |
301 GOODE WAY SUITE 204 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173396 | Nihar R. Bhowmik | Internal Medicine | 301 Goode Way, Suite 103, Portsmouth, VA 23704-2266 | 2006-05-20 |
| 1750677225 | Faheem Haque | Pharmacist | 301 Goode Way, Suite 201, Portsmouth, VA 23704-2266 | 2011-06-23 |
| 1770877631 | Rachel Anne King | Nurse Practitioner | 301 Goode Way, Portsmouth, VA 23704-2266 | 2011-06-07 |
| 1265762868 | A. M .a. R Thanadar, Md, PC | Urology | 301 Goode Way, Suite 201, Portsmouth, VA 23704-2266 | 2010-01-04 |
| 1730310301 | Morrison Comprehensive Learning Center, LLC | Nursing Care | 301 Goode Way, Suite 104, Portsmouth, VA 23704-2266 | 2009-07-30 |
| 1396986063 | Akins Medical Group | Internal Medicine | 301 Goode Way, Ste. 101, Portsmouth, VA 23704-2266 | 2009-03-10 |
| 1538321286 | Rokshana Raschid Thanadar | Internal Medicine | 301 Goode Way, Suite 201, Portsmouth, VA 23704-2266 | 2008-06-25 |
| 1609055722 | Bhowmik Medical Practice | Internal Medicine | 301 Goode Way, Suite 103, Portsmouth, VA 23704-2266 | 2007-10-25 |
| 1144429887 | Dilafroze Ayesha Thanadar | Dietitian, Registered | 301 Goode Way, Suite 201, Portsmouth, VA 23704-2266 | 2007-07-12 |
| 1578776779 | Mosta G Haque Md PC | Internal Medicine | 301 Goode Way, Suite 201, Portsmouth, VA 23704-2266 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968539 | Continental Medical Services Pllc | Family Medicine | 2011 Queen St Ste L100, Portsmouth, VA 23704-3027 | 2017-08-18 |
| 1841686722 | Maryview Hospital | Family Medicine | 3300 High St Ste 6, Portsmouth, VA 23707-3321 | 2015-04-08 |
| 1144640202 | Marjorie Eden Beams | Family Medicine | 100 Campus Dr Ste 100, Portsmouth, NH 03801-5892 | 2014-04-16 |
| 1326477506 | Maryview Hospital | Family Medicine | 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 | 2013-11-07 |
| 1891134490 | Anupriya Grover | Family Medicine | Appledodre Family Medicine, 25 New Hampshire Avenue, Portsmouth, NH 03801-0380 | 2013-06-18 |
| 1528296902 | Ruth Ellen James | Family Medicine | 111 New Hampshire Ave Ste 2, Portsmouth, NH 03801 | 2009-06-24 |
| 1396915658 | David A. Johnson Do, Inc | Family Medicine | 161 Chase Rd, Portsmouth, RI 02871-3243 | 2008-03-03 |
| 1811190655 | Gregory C. Jones, Psc | Family Medicine | 1745 27th Street, Wound Healing Center, Portsmouth, OH 45662 | 2007-06-08 |
| 1407868797 | Melinda Faye Somoza | Family Medicine | 840 Gallia St, Portsmouth, OH 45662-4232 | 2006-08-13 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
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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.