WAYNE MICHAEL MCDERMOTT (NPI# 1578523825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578523825 |
| Entity Type | Individual |
| Full Name | WAYNE MICHAEL MCDERMOTT |
| Credential | MD |
| Practice Address |
1543 Amberley Forest Road Virginia Beach VA 23453 |
| Practice Telephone | 7574717700 |
| Practice Fax Number | 7574719541 |
| Mailing Telephone | 7574717700 |
| Mailing Fax Number | 7574719541 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 0101037511 | VA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 0101037511 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 056754 | 01 |
| Street Address |
1543 AMBERLEY FOREST ROAD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447219241 | Express Medical Care Inc | Clinic/Center | 1543 Amberley Forest Road, Virginia Beach, VA 23453 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396725636 | Beth Rachelle Jaklic | Colon & Rectal Surgery | 1301 First Colonial Rd Ste 201, Virginia Beach, VA 23454-2263 | 2006-01-20 |
| 1356520373 | Tawachai Onsanit | Colon & Rectal Surgery | 1020 Independence Blvd, Suite 204, Virginia Beach, VA 23455-5500 | 2007-10-26 |
| 1588620991 | T. Onsanit, Md, PC | Colon & Rectal Surgery | 1020 Independence Blvd, 204, Virginia Beach, VA 23455-5500 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073809281 | Mercy Danielle Wagner | Colon & Rectal Surgery | 260 John Paul Jones Cir, Portsmouth, VA 23708 | 2011-06-26 |
| 1497818025 | Chong S. Lee | Colon & Rectal Surgery | 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 | 2006-12-18 |
| 1427169507 | Fairfax Colon & Rectal Surgery, PC | Colon & Rectal Surgery | 2710 Propersity Ave, Ste 200, Fairfax, VA 22031 | 2006-08-31 |
| 1710918438 | Northern Virginia Surgical Group, PC | Colon & Rectal Surgery | 8316 Arlington Blvd., Suite 630, Fairfax, VA 22031-5216 | 2006-07-05 |
| 1720052285 | Gregory P Fitzharris | Colon & Rectal Surgery | 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | 2006-02-13 |
| 1356311286 | Paul Jerome Kovalcik | Colon & Rectal Surgery | 3105 American Legion Road, Suite A, Chesapeake, VA 23321-5653 | 2006-01-24 |
| 1174525869 | Othon Wiltz | Colon & Rectal Surgery | 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033-1761 | 2005-08-11 |
| 1598107674 | Virginia Hospital Center Physician Group, LLC | Colon & Rectal Surgery | 1625 N George Mason Dr, Suite 454, Arlington, VA 22205-3683 | 2013-07-18 |
| 1497092944 | Christina Cheng | Colon & Rectal Surgery | 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 | 2013-01-03 |
| 1063733350 | Terry Paul Nickerson | Colon & Rectal Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-06-21 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
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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.