ELIZABETH B. PETIK (NPI# 1356750335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356750335 |
| Entity Type | Individual |
| Full Name | ELIZABETH B. PETIK |
| Other Name | ELIZABETH A. BERNHARDT |
| Credential | PA-C |
| Practice Address |
611 Denbigh Blvd Newport News VA 23608-4415 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7572838300 |
| Practice Fax Number | 7572838301 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | CO5407 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 0110004798 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
611 DENBIGH BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23608-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972578268 | Deborah A Shipman | Family Medicine | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2006-02-21 |
| 1396242913 | Daniel Bishop Tiller II | Family Medicine | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2018-04-10 |
| 1578069266 | Karishma Vijay Tolani | Family Medicine | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2018-04-02 |
| 1295189728 | Jeffrey Omer Laterreur | Family Medicine | 611 Denbigh Blvd, Newport News, VA 23608 | 2016-04-21 |
| 1447695838 | Elizabeth Hope Ellis | Physician Assistant | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2013-04-30 |
| 1437477346 | Dolores Elizondo Tamez Parlett | Physician Assistant | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2010-05-17 |
| 1306164348 | Matthew T. Claus | Physician Assistant | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2010-05-15 |
| 1720242605 | Alexandra Paprocki | Internal Medicine | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2008-07-10 |
| 1982861258 | Phi Bao Lam | Family Medicine | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2008-05-22 |
| 1902922305 | Anthony Jonathan Hayes | Family Medicine | 611 Denbigh Blvd, Newport News, VA 23608-4415 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943932 | Marian Elizabeth Green | Registered Nurse | 628 Aylesbury Dr., Newport News, VA 23608 | 2018-12-16 |
| 1255707113 | Global Counseling Services LLC | Counselor | 393 Denbigh Blvd. Suite 5, Newport News, VA 23608 | 2015-08-14 |
| 1720463128 | Nurturing Hearts Services | In Home Supportive Care | 926 Verline Ct, Newport News, VA 23608 | 2015-07-27 |
| 1508253949 | Morrison, Hartley, & Sanchez, P.C. | Dentist | 710 Denbigh Boulevard, Bldg. 1, Suite C, Newport News, VA 23608 | 2015-04-23 |
| 1033543459 | First Choice Solutions | Home Health Aide | 710 Denbigh, 4b, Newport News, VA 23608 | 2013-08-22 |
| 1366888042 | Megan Paige Dotson | Occupational Therapist | 655 Denbigh Blvd Newport News, Morning Side of Newport News, Newport News, VA 23608 | 2013-05-21 |
| 1194098848 | Riverside Retirement Service | PACE Provider Organization | 439 Oriana Road, Newport News, VA 23608 | 2012-02-10 |
| 1427340876 | Teawanna Cooper | Home Health Aide | 360 Roseman Ct, Apt 3d, Newport News, VA 23608 | 2011-05-04 |
| 1265763528 | Just Us Kidz Incorporated | Community/Behavioral Health | 393 Denbigh Blvd, Suite 1, Newport News, VA 23608 | 2010-01-26 |
| 1174656862 | Peninsula Institute for Community Health Inc | Clinic/Center | 15425h Warwick Blvd, Newport News, VA 23608 | 2007-03-13 |
| Find all providers in zip 23608 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1407327737 | Caroline Suttle | Physician Assistant | 44 Barclay Rd, Newport News, VA 23606-1465 | 2018-12-16 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1922554112 | Benjamin Timothy Housley | Physician Assistant | 12715 Warwick Blvd Ste O, Commonwealth Family Practice, Newport News, VA 23606-1800 | 2016-08-29 |
| 1679802938 | Taiwo Adeogun | Physician Assistant | 594 Hollins Ct, #105, Newport News, VA 23608-1755 | 2009-12-16 |
| 1275760035 | Ryan Julia Sykes | Physician Assistant | 11828 Canon Blvd Ste E, Newport News, VA 23606-2554 | 2009-06-18 |
| 1992961361 | Tonia Yocum | Physician Assistant | 751 J. Clyde Morris Blvd, Newport News, VA 23601 | 2008-08-05 |
| 1194813048 | Suzanne Fahy Miller | Physician Assistant | 1051 Loftis Blvd Ste 100, Newport News, VA 23606 | 2006-10-10 |
| 1043234818 | Jennifer Morrison | Physician Assistant | 11713 Jefferson Ave, Suite 200, Newport News, VA 23606-2400 | 2006-07-26 |
| 1588625610 | Craig Leslie Knott | Physician Assistant | 116 Lake Pointe Dr, Newport News, VA 23603-1375 | 2006-03-29 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23608 |
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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.