DAVID MICHAEL SACK (NPI# 1558331256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558331256 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL SACK |
| Credential | M.D. |
| Practice Address |
6632 Indian River Rd Virginia Beach VA 23464-3442 |
| Practice Telephone | 7574244300 |
| Mailing Telephone | 7574244300 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
0101238149 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986898 | David M Sack | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2005-07-20 |
| 1467657882 | David Andrew Sack | Psychiatry & Neurology | 19456 Woodlands Ln, Huntington Beach, CA 92648-5570 | 2007-06-16 |
| 1568416725 | David I Sack | Emergency Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2006-05-20 |
| Street Address |
6632 INDIAN RIVER RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730306879 | Darla Jean Clift | Physician Assistant | 6632 Indian River Rd, Virginia Beach, VA 23464-3442 | 2007-04-19 |
| 1235210915 | Tarek A Elbeshbeshy | Family Medicine | 6632 Indian River Rd, Virginia Beach, VA 23464-3442 | 2006-10-18 |
| 1407864796 | Nowcare Physicians | Emergency Medicine | 6632 Indian River Rd, Virginia Beach, VA 23464-3442 | 2006-08-03 |
| 1265462568 | Eric L Jones | Internal Medicine | 6632 Indian River Rd, Suite 103, Virginia Beach, VA 23464-3442 | 2006-07-03 |
| 1659327369 | Nathan R Riles | Family Medicine | 6632 Indian River Rd, Virginia Beach, VA 23464-3442 | 2006-05-25 |
| 1740246826 | Matthew John Hickey | Preventive Medicine | 6632 Indian River Rd, Virginia Beach, VA 23464-3442 | 2006-04-26 |
| 1023074812 | Anthony C Cetrone | Emergency Medicine | 6632 Indian River Rd, Virginia Beach, VA 23464-3442 | 2006-04-21 |
| 1669446753 | Elizabeth Magno | Family Medicine | 6632 Indian River Rd, Suite 103, Virginia Beach, VA 23464-3442 | 2006-02-15 |
| 1134192479 | Angela Antoine | Family Medicine | 6632 Indian River Rd, Suite 103, Virginia Beach, VA 23464-3442 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972718716 | Passport Health, Inc. | Preventive Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2007-05-14 |
| 1942270533 | Mark Hammett | Preventive Medicine | 1168 First Colonial Rd, Virginia Beach, VA 23454-2444 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902456 | Healthstat Inc Kollmorgen Rock Road | Preventive Medicine | 201 W Rock Rd, Radford, VA 24141-4026 | 2020-08-17 |
| 1184235707 | Healthstat Inc Rowe Elliston | Preventive Medicine | 2121 Gardner St, Elliston, VA 24087-3055 | 2020-08-17 |
| 1417568023 | Healthstat Inc Ronile | Preventive Medicine | 701 Orchard Ave, Rocky Mount, VA 24151-1848 | 2020-08-17 |
| 1174134795 | Healthstat Inc Scholle Chilhowie | Preventive Medicine | 50 Deer Valley Rd, Chilhowie, VA 24319-5484 | 2020-08-17 |
| 1497366009 | Healthstat Inc Rowe Salem | Preventive Medicine | 1972 Salem Industrial Dr, Salem, VA 24153-3148 | 2020-08-17 |
| 1003326737 | Healthstat Onsite Clinic Parkdale Plant 32-35 | Preventive Medicine | 1 Advanced Technology Dr, Hillsville, VA 24343-2701 | 2017-10-09 |
| 1801306659 | Healthstat Onsite Clinic Parkdale Plant 22 | Preventive Medicine | 1012 Glendale Rd, Galax, VA 24333-2504 | 2017-10-06 |
| 1104263615 | Healthstat On-site Clinic/truist Richmond | Preventive Medicine | 901 E Byrd St, Richmond, VA 23219-4052 | 2013-05-24 |
| 1386088466 | Healthstat On-site Clinic/pgi Waynesboro | Preventive Medicine | 1020 Shenandoah Village Dr, Waynesboro, VA 22980-9292 | 2013-04-19 |
| 1083958953 | Healthstat On-site Clinic/medeco | Preventive Medicine | 3625 Alleghany Dr, Salem, VA 24153-1977 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
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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.