BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC


Address: 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316
Phone: 7577773433

BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC (NPI# 1255945739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255945739
Entity Type Organization
Organization Name BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC
Other Organization Name BLUESTONE PHYSICIAN SERVICES FLORIDA, LLC
Practice Address 999 Waterside Dr Ste 2525
Norfolk
VA 23510-3316
Mailing Address 270 Main St N Ste 300
Stillwater
MN 55082-6788
Practice Telephone 7577773433
Practice Fax Number 8558183907
Mailing Telephone 6513421039
Mailing Fax Number 6513421428
Enumeration Date 2020-09-02
Last Update Date 2020-10-22
Authorized Official Name TIM KOEHLER (COO)
Authorized Official Telephone 6513421039
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208D00000X General Practice Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Bluestone Physician Services Florida, LLC Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346212370 Bluestone Physician Services Southeast LLC General Practice 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 2006-02-03

Office Location

Street Address 999 WATERSIDE DR STE 2525
City NORFOLK
State VA
Zip Code 23510-3316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235506387 Jason Charles Evers Family Medicine 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 2015-08-25
1881293421 Jamar Humphrey Driver 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 2020-10-24
1194336313 Lifephysician, LLC Clinic/Center 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 2020-08-11
1417573189 Katina Dickson Counselor 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 2020-06-18
1568094225 A Chance for Change LLC Counselor 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 2020-02-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972151108 Brittany Delong Speech-Language Pathologist 534 E Olney Road, Norfolk, VA 23510 2019-08-30
1881164366 Gregory D Newman Hearing Instrument Specialist 501 B Bousch St, Norfolk, VA 23510 2018-11-28
1598282998 Tidewater Hyperbaric Preventive Medicine 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 2017-08-25
1295276186 John Michael Curnes General Practice 200 College Pl Apt 215, Norfolk, VA 23510 2017-03-13
1326499989 East Coast Family Services Community/Behavioral Health 259 Granby St., Norfolk, VA 23510 2016-06-24
1659750529 Cortney Armitano Specialist/Technologist 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 2015-05-26
1285076067 Abundant Life Therapeutic Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 645 Church St., Suite 104c, Norfolk, VA 23510 2013-07-22
1497196901 Patricia Ann Richardson Assisted Living Facility 101 East Plume Street, 501, Norfolk, VA 23510 2013-07-12
1427319300 The Foleck Center Dentist 201 College Place, #111, Norfolk, VA 23510 2012-06-06
1033414941 Laura Jeanne O'neal Social Worker 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 2011-01-24
Find all providers in zip 23510

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144708371 Alison Stover Family Medicine 110 N 29th St Ste 101, Norfolk, NE 68701-4461 2018-07-31
1689169344 Faith Regional Physician Services, LLC Family Medicine 110 N 29th St Ste 201, Norfolk, NE 68701-4461 2018-06-26
1558879346 Sentara Medical Group Family Medicine 301 Riverview Ave Ste 930, Norfolk, VA 23510-1068 2018-01-16
1194243410 Nmg LLC Family Medicine 301 N 27th St Ste 1, Norfolk, NE 68701-4457 2017-09-07
1356864995 Nmg LLC Family Medicine 301 North 27th Street Suite 1, Norfolk, NE 68701 2017-07-25
1063864981 Losika Sivaganeshan Family Medicine 900 W Norfolk Ave Ste 100, Norfolk, NE 68701-5006 2016-07-02
1235506387 Jason Charles Evers Family Medicine 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 2015-08-25
1992185011 Marcia Nicole Newby-goodman Family Medicine 930 Majestic Ave Ste 220, Norfolk, VA 23504-4055 2015-06-03
1124438437 Bon Secours Depaul Medical Center Inc Family Medicine 4211 Monarch Way, Norfolk, VA 23508-2540 2014-05-08
1629489935 Joshua Robert Beer Family Medicine 1363 Magnolia Ave, Norfolk, VA 23508-1121 2014-05-08
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23510

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Dataset Information

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.

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