DR. CLARICE MOUSSALLI (NPI# 1487620035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487620035 |
| Entity Type | Individual |
| Full Name | DR. CLARICE MOUSSALLI |
| Credential | M.D. |
| Practice Address |
4374 New Town Ave Ste 100 Williamsburg VA 23188-2865 |
| Practice Telephone | 7572591900 |
| Practice Fax Number | 7572591901 |
| Mailing Telephone | 7572591900 |
| Mailing Fax Number | 7572591901 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101035100 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010163927 | 05 |
| Street Address |
4374 NEW TOWN AVE STE 100 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780658260 | Jennifer J Altman | Pediatrics | 4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 | 2006-02-14 |
| 1205350584 | Velocity Urgent Care, LLC | Clinic/Center | 4374 New Town Ave, Williamsburg, VA 23188-2865 | 2017-07-28 |
| 1255677712 | Catherine A White | Licensed Practical Nurse | 4374 New Town Ave, Ste 200, Williamsburg, VA 23188-2865 | 2013-01-02 |
| 1689973000 | Julie W Jenkins | Nurse Practitioner | 4374 New Town Ave, Suite 202, Williamsburg, VA 23188-2865 | 2011-03-24 |
| 1437392396 | Sentara Medical Group | Clinical Medical Laboratory | 4374 New Town Ave, Suite 104a, Williamsburg, VA 23188-2865 | 2009-04-08 |
| 1639357239 | Sentara Medical Group | Clinical Medical Laboratory | 4374 New Town Ave, Suite 104, Williamsburg, VA 23188-2865 | 2008-02-06 |
| 1265628093 | Jennifer Ashley Wolff Dean | Family Medicine | 4374 New Town Ave, Suite 100, Williamsburg, VA 23188-2865 | 2007-09-14 |
| 1659564557 | Erin C Desrosiers | Physician Assistant | 4374 New Town Ave, Suite 200, Williamsburg, VA 23188-2865 | 2007-08-23 |
| 1588855514 | Peter Alan Sim | Emergency Medicine | 4374 New Town Ave, Suite 100, Williamsburg, VA 23188-2688 | 2007-08-06 |
| 1699894972 | Michael Jesse Levine | Internal Medicine | 4374 New Town Ave, Ste 100, Williamsburg, VA 23188-2865 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750322004 | Douglas A Brown | Emergency Medicine | 5000 New Point Rd Ste 3201, Williamsburg, VA 23188-9423 | 2006-06-09 |
| 1871531889 | Ruhul Ahmed Choudhury | Emergency Medicine | 3080 N Highway 25 W, Williamsburg, KY 40769-8602 | 2006-06-02 |
| 1700859766 | Michael E. Renforth | Emergency Medicine | 120 Monticello Ave, Michumi, Pllc., Dba Md Express of Williamsburg Va, Williamsburg, VA 23185-2840 | 2006-02-09 |
| 1619940681 | Chan S. Park | Emergency Medicine | Michumi, Pllc Dba Med Express of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185 | 2006-02-09 |
| 1487653291 | Richard A Schmitt | Emergency Medicine | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2005-07-14 |
| 1245237924 | Gregory P Neyman | Emergency Medicine | 498 N Highland St, Williamsburg, IA 52361-9695 | 2005-07-07 |
| 1275062200 | Kazi Imran Kabir | Emergency Medicine | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2017-06-04 |
| 1356731897 | Tsegaye Daniel Gebregiorgis | Emergency Medicine | 100 Sentara Cir Rm 2c, Williamsburg, VA 23188-5713 | 2015-02-04 |
| 1639418429 | Riverside Physician Services Inc | Emergency Medicine | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2013-02-14 |
| 1225398936 | L&e Medical Associates LLC | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2012-05-29 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.