DR. ANTONIO QUIDGLEY-NEVARES (NPI# 1467428375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467428375 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO QUIDGLEY-NEVARES |
| Credential | MD |
| Practice Address |
721 Fairfax Ave 3rd Floor Norfolk VA 23507-2007 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7574465915 |
| Practice Fax Number | 7574465969 |
| Mailing Telephone | 7574465915 |
| Mailing Fax Number | 7574465969 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2009-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0101231877 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRICARE/CHAMPUS | -017 | 01 |
| VA | VIRGINIA HEALTH NETWORK | PAR | 01 |
| VA | USA MANAGED CARE | PAR | 01 |
| VA | 010065801 | 05 | |
| VA | ANTHEM | 139142 | 01 |
| VA | SENTARA | 76226 | 01 |
| VA | VIRGINIA PREMIER HEALTH | PAR | 01 |
| NC | BC/BS | 06678 | 01 |
| NC | 8906678 | 05 | |
| VA | MULTIPLAN | PAR | 01 |
| VA | SENTARA/OPTIMA | 10007083 | 01 |
| VA | UHC/MAMSI | 3117723 | 01 |
| VA | AETNA | PAR | 01 |
| VA | CIGNA | PAR | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | PAR | 01 |
| Street Address |
721 FAIRFAX AVE 3RD FLOOR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237791 | Beverly Lavern Roberts-atwater | Physical Medicine & Rehabilitation | 721 Fairfax Ave, 3rd Floor, Norfolk, VA 23507-2007 | 2005-06-30 |
| 1477161610 | Alyssa Joyce Jessup | Nurse Practitioner | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2020-07-14 |
| 1285253500 | Emily Ruth Cunningham | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2020-04-16 |
| 1043872005 | Zahra Tasneem | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-06-30 |
| 1508427741 | Reema Husni Abughoush | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-06-27 |
| 1891350443 | Stephan Duran | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-05-08 |
| 1396208500 | Kelly Starosta Hill | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-04-14 |
| 1205396884 | Zeeshan Toor | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-03-21 |
| 1861952434 | Steve Mark D'souza | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-03-20 |
| 1932668738 | Abigail Winz | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-03-19 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113757 | Vann-virginia Center for Orthopaedics PC | Physical Medicine & Rehabilitation | 6160 Kempsville Cir Ste 110a, Norfolk, VA 23502-3933 | 2020-01-07 |
| 1871529206 | Apm Spine and Sports Physicians, P.C. | Physical Medicine & Rehabilitation | 5665 Lowery Road, Suite 100, Norfolk, VA 23502-2220 | 2006-06-25 |
| 1043823172 | Sentara Medical Group | Physical Medicine & Rehabilitation | 301 Riverview Ave Ste 200, Norfolk, VA 23510-1065 | 2020-08-28 |
| 1396773263 | Edward J Walko | Physical Medicine & Rehabilitation | 5665 Lowery Rd, Suite 100, Norfolk, VA 23502-2220 | 2006-06-29 |
| 1043275803 | Joann Webber Dervay | Physical Medicine & Rehabilitation | 6160 Kempsville Cir, Suite 200b, Norfolk, VA 23502-3933 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902220403 | Triumph Medical Advancments | Physical Medicine & Rehabilitation | 43704 Lees Mill Sq, Leesburg, VA 20176-3821 | 2014-02-05 |
| 1659792323 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 7535 Little River Tpke Ste 100c, Annandale, VA 22003-2976 | 2013-12-26 |
| 1174843064 | Bruce Ira Tetalman | Physical Medicine & Rehabilitation | 716 Thimble Shoals Blvd, Suite A, Newport News, VA 23606-4545 | 2010-06-02 |
| 1275769168 | Anil Mathew Chenthitta | Physical Medicine & Rehabilitation | 19450 Deerfield Ave Ste 280, Leesburg, VA 20176-6821 | 2009-06-05 |
| 1548427461 | Costa George Soteropoulos | Physical Medicine & Rehabilitation | 411-b Park Hill Dr, Fredericksburg, VA 22401 | 2008-05-19 |
| 1003028812 | Christopher A Dawson | Physical Medicine & Rehabilitation | 860 Omni Blvd Ste 115, Newport News, VA 23606-4430 | 2007-05-04 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1518982032 | Joseph Vincent Ferraro | Physical Medicine & Rehabilitation | 2729 King St, Alexandria, VA 22302-4008 | 2006-07-13 |
| 1285668491 | Suneetha Budampati | Physical Medicine & Rehabilitation | 2800 S Shirlington Rd Ste 102, Arlington, VA 22206-3603 | 2006-07-11 |
| 1346279833 | Bonnie Jean Nock | Physical Medicine & Rehabilitation | 329 Edwin Dr Ste 101, Virginia Beach, VA 23462-4545 | 2006-06-30 |
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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.