DR PAUL J KOVALCIK M.D. LTD (NPI# 1255452413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255452413 |
| Entity Type | Organization |
| Organization Name | DR PAUL J KOVALCIK M.D. LTD |
| Practice Address |
3105 American Legion Rd Suite A Chesapeake VA 23321-5654 |
| Mailing Address |
3105 American Legion Road Suite A Chesapeake VA 23321-5653 |
| Practice Telephone | 7576862687 |
| Practice Fax Number | 7574841682 |
| Mailing Telephone | 7576862687 |
| Mailing Fax Number | 7574841682 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL JEROME KOVALCIK (DR) |
| Authorized Official Telephone | 7576862687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101032355 | VA | Other Service Providers |
| Street Address |
3105 AMERICAN LEGION RD SUITE A |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003301748 | Tiara Mallory | Behavior Technician | 3105 American Legion Rd, Chesapeake, VA 23321-5654 | 2018-06-26 |
| 1992206619 | Coral Kochis | Behavior Technician | 3105 American Legion Rd, Chesapeake, VA 23321-5654 | 2018-02-27 |
| 1710492160 | Trisa Jessamy | Behavior Technician | 3105 American Legion Rd, Chesapeake, VA 23321-5654 | 2017-12-07 |
| 1407009905 | Tammy Martin George | Counselor | 3105 American Legion Rd, Suite B, Chesapeake, VA 23321 | 2008-10-28 |
| 1316193253 | Meagan Chaille Koch | Counselor | 3105 American Legion Rd, Suite B, Chesapeake, VA 23321-5654 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1376822940 | Alan A Smith | Specialist | 549 Royal Grant Dr, Chesapeake, VA 23322 | 2011-08-12 |
| 1396057022 | Pulmonary Associates of Tidewater | Specialist | 100 Wimbledon Square, Chesapeake, VA 23320-4931 | 2010-07-10 |
| 1528264959 | Brinda Dixit Inc | Specialist | 516 Innovation Dr Ste 204, Chesapeake, VA 23320-3866 | 2007-06-22 |
| 1528263720 | Coastal Surgical Assistance, Inc. | Specialist | 1102 Waterstone Ct, Chesapeake, VA 23320-3307 | 2007-06-18 |
| 1215138508 | Osborne Orthopedic Group Inc. | Specialist | 1101 Executive Blvd Ste D, Chesapeake, VA 23320-3634 | 2007-05-31 |
| 1114042785 | Shannon Clinite Almberg | Specialist | 1502 Bodine Ct, Chesapeake, VA 23322-1745 | 2007-03-20 |
| 1477560902 | Fred Harris Siegel | Specialist | 700 Battlefield Blvd N Ste A, Chesapeake, VA 23320-4952 | 2006-08-01 |
| 1114952587 | Stephanie Jones Marioneaux | Specialist | 1013 Eden N Way E, Chesapeake, VA 23320-2792 | 2006-07-12 |
| 1639101256 | Larry L Legum | Specialist | 113 Coastal Way, Chesapeake, VA 23320-4603 | 2006-07-06 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on DR PAUL J KOVALCIK M.D. LTD.
| 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.