STEPHEN NNODIM JR.


Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone: 7579532114

STEPHEN NNODIM JR. (NPI# 1396199105) 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) 1396199105
Entity Type Individual
Full Name STEPHEN NNODIM JR.
Credential MD
Practice Address 620 John Paul Jones Cir
Portsmouth
VA 23708-2111
Mailing Address 805 Saltmeadow Bay Arch Unit 201
Virginia Beach
VA 23451-6283
Practice Telephone 7579532114
Mailing Telephone 9162012650
Enumeration Date 2016-04-18
Last Update Date 2020-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
A150305 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 620 JOHN PAUL JONES CIR
City PORTSMOUTH
State VA
Zip Code 23708-2111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427054840 Debra Tooke Crowell Registered Nurse 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2005-06-21
1659970424 Jennifer T Birchwale Student in an Organized Health Care Education/Training Program 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-22
1861091985 Carin Kimberly Teeters Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-20
1275130825 Dartangion Pierre Walker Dental Hygienist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-07
1750996054 Kevin Wilfong Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-14
1598379901 Paula Shepard Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-02
1578177234 Rebekah Gunter Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-01
1225641863 Dylan Quoc-chuong Vu Dentist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-08-24
1467060111 Ili Yuan Dentist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-07-20
1750909172 Marsades Ceasar Social Worker 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724754 William Dowling Student in an Organized Health Care Education/Training Program 260 John Paul Jones Circle, Fpo, AA 23708 2020-06-09
1760003156 Kylie Miller Student in an Organized Health Care Education/Training Program 600 John Paul Jones Circle, Portsmouth, VA 23708 2020-04-27
1750900304 Jonathan David Hickman Student in an Organized Health Care Education/Training Program Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 2020-04-14
1447716550 Nathan Le Holterman Student in an Organized Health Care Education/Training Program Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 2019-02-13
1467930545 Jonathan Volland Dentist Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 2018-08-01
1629570171 Brendan James O'shea Student in an Organized Health Care Education/Training Program 690 John Paul Jones Circle, Fpo, AA 23708 2018-03-01
1467909077 Patricia Hicks Smith Nurse Practitioner 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-09-01
1790139392 Lauren Pitters Student in an Organized Health Care Education/Training Program 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-04-20
1841683745 Karrie Anne Brondell Walker Student in an Organized Health Care Education/Training Program 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2015-03-17
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
Find all providers in zip 23708

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
1225343742 Karen P. Lauze, LLC Psychiatry & Neurology 875 Greenland Rd Suite B4, Portsmouth, NH 03801 2010-08-09
1093998676 Randy Kozel Md Psychiatry & Neurology 112 Clock Tower Sq, Portsmouth, RI 02871-1396 2007-12-06
1619178621 Angela Rackley Psychiatry & Neurology 1711 27th St Ste 103a, Portsmouth, OH 45662-2654 2007-05-29
1043269434 Augusto C Juguilon Psychiatry & Neurology 1711 27th St # 103a, Portsmouth, OH 45662-2654 2006-05-10
1376539098 Patricia A Locuratolo Psychiatry & Neurology 875 Greenland Rd, Suite B4-5, Portsmouth, NH 03801-4164 2005-09-27
1699775486 Randy B Kozel Psychiatry & Neurology 112 Clock Tower Square, Portsmouth, RI 02871-1365 2005-07-22
1598762551 Grace A. Medeiros Psychiatry & Neurology 2444 E Main Rd, Portsmouth, RI 02871-4025 2005-07-06
1740675503 Sarah Emily Woodson Smith Psychiatry & Neurology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2015-03-30
1588088769 Aaron Daley Psychiatry & Neurology 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 2014-02-10
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 23708

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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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