HEALTHSTAT ONSITE CLINIC CHKD (NPI# 1245690403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245690403 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC CHKD |
| Practice Address |
400 Gresham Dr Suite 406 Medical Tower Norfolk VA 23507-1901 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7049365546 |
| Mailing Telephone | 7045296161 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
400 GRESHAM DR SUITE 406 MEDICAL TOWER |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269483 | Alex Olabode Williams | Internal Medicine | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2005-07-20 |
| 1609311760 | Vrx1 LLC | Pharmacy | 400 Gresham Dr, Suite 104, Norfolk, VA 23507-1901 | 2016-12-28 |
| 1891143855 | Lisa J Ulmer | Psychologist | 400 Gresham Dr, Suite 900, Norfolk, VA 23507-1901 | 2016-06-01 |
| 1740618412 | Bon Secours Depaul Medical Center | Internal Medicine | 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 | 2013-10-16 |
| 1306157847 | Trisha Marie Stueber | Physician Assistant | 400 Gresham Dr, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1346551736 | Ghent Internal Medicine PC | Internal Medicine | 400 Gresham Dr, Ste. 205, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1568787638 | Meaghan G Dehart | Registered Nurse | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2010-04-01 |
| 1699936112 | Sharon Murphy Finefrock | Advanced Practice Midwife | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-18 |
| 1144480757 | Rachel E Rotenberry | Nurse Practitioner | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-17 |
| 1952561193 | Cedric D Pinckens Md | Specialist | 400 Gresham Dr, Ste 503, Norfolk, VA 23507-1901 | 2008-06-11 |
| Find all providers in the same location | ||||
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245291517 | James Reedie Pate | Preventive Medicine | 1887 Powhatan Street, Norfolk, VA 23511-3394 | 2006-03-28 |
| 1649317553 | Illy Dominitz | Preventive Medicine | 1468 Ingram St, Norfolk, VA 23551-2596 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902456 | Healthstat Inc Kollmorgen Rock Road | Preventive Medicine | 201 W Rock Rd, Radford, VA 24141-4026 | 2020-08-17 |
| 1184235707 | Healthstat Inc Rowe Elliston | Preventive Medicine | 2121 Gardner St, Elliston, VA 24087-3055 | 2020-08-17 |
| 1417568023 | Healthstat Inc Ronile | Preventive Medicine | 701 Orchard Ave, Rocky Mount, VA 24151-1848 | 2020-08-17 |
| 1174134795 | Healthstat Inc Scholle Chilhowie | Preventive Medicine | 50 Deer Valley Rd, Chilhowie, VA 24319-5484 | 2020-08-17 |
| 1497366009 | Healthstat Inc Rowe Salem | Preventive Medicine | 1972 Salem Industrial Dr, Salem, VA 24153-3148 | 2020-08-17 |
| 1003326737 | Healthstat Onsite Clinic Parkdale Plant 32-35 | Preventive Medicine | 1 Advanced Technology Dr, Hillsville, VA 24343-2701 | 2017-10-09 |
| 1801306659 | Healthstat Onsite Clinic Parkdale Plant 22 | Preventive Medicine | 1012 Glendale Rd, Galax, VA 24333-2504 | 2017-10-06 |
| 1104263615 | Healthstat On-site Clinic/truist Richmond | Preventive Medicine | 901 E Byrd St, Richmond, VA 23219-4052 | 2013-05-24 |
| 1386088466 | Healthstat On-site Clinic/pgi Waynesboro | Preventive Medicine | 1020 Shenandoah Village Dr, Waynesboro, VA 22980-9292 | 2013-04-19 |
| 1083958953 | Healthstat On-site Clinic/medeco | Preventive Medicine | 3625 Alleghany Dr, Salem, VA 24153-1977 | 2012-11-16 |
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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.