DR. GREGG ALLEN SHIVERS (NPI# 1578502142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578502142 |
| Entity Type | Individual |
| Full Name | DR. GREGG ALLEN SHIVERS |
| Credential | M.D. |
| Practice Address |
1000 Old Denbigh Blvd Ste 1020a Riverside Lifelong Health & Aging Services Newport News VA 23602-2017 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7578752009 |
| Practice Fax Number | 7573691042 |
| Mailing Telephone | 7575944006 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101050193 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1578502142 | 05 |
| Street Address |
1000 OLD DENBIGH BLVD STE 1020A RIVERSIDE LIFELONG HEALTH & AGING SERVICES |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160716 | Dennis M O'neill | Internal Medicine | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2005-10-29 |
| 1225505845 | Rachel Norum | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2018-11-01 |
| 1528542354 | Jennifer Lynn Tucker | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2018-09-18 |
| 1073093076 | Nakita Letitia Harris | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2018-08-19 |
| 1164935896 | Shereka Michelle Jenkins | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602 | 2017-11-16 |
| 1790204188 | Signey Cameron Zavinsky | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2017-09-17 |
| 1952836769 | Jamose Terreforte | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2017-04-30 |
| 1073684783 | Nkechinyere Udenyi | Family Medicine | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602 | 2006-11-13 |
| 1952484651 | Rocco John Basciano | Internal Medicine | 1000 Old Denbigh Blvd Ste 1020a, Lifelong Health & Aging Services, Newport News, VA 23602-2017 | 2006-10-24 |
| 1972559052 | Charles Gregory Lockhart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602 | 2006-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1376995795 | Chaitali Panchal | Internal Medicine | 12420 Warwick Blvd Bldg 44a, Newport News, VA 23606-3001 | 2016-07-09 |
| 1255781977 | Rivera -soto Medical Group Internal Medicine Specialist | Internal Medicine | 710 Denbigh Blvd Ste 7b, Newport News, VA 23608-4427 | 2016-06-14 |
| 1679869036 | Sailaja Dandamudi | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2011-06-23 |
| 1942501234 | Paa-kofi Beniako Obeng | Internal Medicine | 827 Diligence Dr Ste 206, Newport News, VA 23606-4268 | 2010-11-03 |
| 1932302098 | Madhab Lamichhane | Internal Medicine | 11803 Jefferson Ave Ste 110, Newport News, VA 23606 | 2007-06-07 |
| 1467660597 | Amol Raizada | Internal Medicine | 1031 Loftis Blvd Ste 100, Newport News, VA 23606-2981 | 2007-05-21 |
| 1780750885 | Jeremy Warren Baldwin | Internal Medicine | 11848 Rock Landing Dr Ste 401, Newport News, VA 23606-4425 | 2006-11-28 |
| 1134158470 | Robert Noyes Lowe | Internal Medicine | 2501 Marshall Ave, Suite A, Newport News, VA 23607-4636 | 2006-06-30 |
| 1851336341 | Thar Elbaage | Internal Medicine | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2006-06-18 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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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.