ANGELA JEAN CEREZO (NPI# 1467462945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467462945 |
| Entity Type | Individual |
| Full Name | ANGELA JEAN CEREZO |
| Other Name | ANGELA JEAN PASCUAL |
| Credential | PA-C |
| Practice Address |
600 Crawford St Suite 300 Portsmouth VA 23704-3820 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7573976344 |
| Practice Fax Number | 7576061185 |
| Mailing Telephone | 7573976344 |
| Mailing Fax Number | 7576061185 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001759 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA HEALTH | 10093799P | 01 |
| VA | MULTIPLAN | PAR | 01 |
| VA | TRICARE/CHAMPUS | -003 | 01 |
| VA | 1467462945 | 05 | |
| VA | CORVEL | PAR | 01 |
| VA | USA MANAGED CARE | PAR | 01 |
| Street Address |
600 CRAWFORD ST SUITE 300 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205813 | Hampton Vamc | Clinic/Center | 600 Crawford St, Ste 300 and 400, Portsmouth, VA 23704 | 2020-08-13 |
| 1558867093 | Gregory Dean Bentz Jr. | Student in an Organized Health Care Education/Training Program | 600 Crawford St, Portsmouth, VA 23704-3820 | 2018-04-03 |
| 1598211898 | Help 4 U Home Health Care LLC | Respite Care | 600 Crawford St, Penthouse A, Portsmouth, VA 23704-3858 | 2016-08-28 |
| 1144684788 | Jessica Lynn Quirk | Student in an Organized Health Care Education/Training Program | 600 Crawford St, 3rd Floor, Portsmouth, VA 23704-3820 | 2016-04-10 |
| 1902214463 | Ravi Gupta | Family Medicine | 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 | 2014-07-29 |
| 1104237379 | Satara Brown | Family Medicine | 600 Crawford St, Suite 300, Portsmouth, VA 23704 | 2014-05-09 |
| 1255774394 | Shanna Rone | Student in an Organized Health Care Education/Training Program | 600 Crawford St, Portsmouth, VA 23704-3820 | 2013-04-08 |
| 1598049017 | Rebecca M. Cowan | Counselor | 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 | 2011-10-03 |
| 1689814485 | Stacie D. Otey-scott | Psychologist | 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 | 2009-03-06 |
| 1548415193 | Willie Lee Brown | Home Health | 600 Crawford St, Suite P-d, Portsmouth, VA 23704-3820 | 2008-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508047010 | James Alfred Carroll | Physician Assistant | One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 | 2007-11-27 |
| 1164517504 | Kathleen Ann Ballentine | Physician Assistant | 333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders, Portsmouth, NH 03801 | 2006-10-03 |
| 1184609125 | Renald Rouillard | Physician Assistant | 1 Ayers Cir, Bldg H-1, Portsmouth, NH 03801-3892 | 2005-12-13 |
| 1588650501 | Mara S Smith | Physician Assistant | 121 Corporate Drive, Suite 200, Portsmouth, NH 03801 | 2005-09-26 |
| 1184180663 | Emily Farrell | Physician Assistant | 330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 | 2019-02-20 |
| 1356741151 | Rachel Whitman | Physician Assistant | 330 Borthwick Ave Ste 311, Portsmouth, NH 03801-7112 | 2014-08-28 |
| 1376970350 | Anne Macadam | Physician Assistant | 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 | 2013-10-04 |
| 1821349200 | Kirsten Nicole Allred | Physician Assistant | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2012-09-26 |
| 1992095608 | Elizabeth Mclaughlin Snyder | Physician Assistant | 3636 High St, Portsmouth, VA 23707-3236 | 2011-04-14 |
| 1801190665 | Matthew David Doughman | Physician Assistant | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2011-01-07 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
Please comment or provide details below to improve the information on ANGELA JEAN CEREZO.
| 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.