FREDERICK BAGARES (NPI# 1588942155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588942155 |
Entity Type | Individual |
Full Name | FREDERICK BAGARES |
Credential | D.O. |
Practice Address |
1950 Glenn Mitchell Dr Suite 208 Virginia Beach VA 23456-0019 |
Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
Practice Telephone | 7576898139 |
Practice Fax Number | 7576893832 |
Mailing Telephone | 7576898139 |
Mailing Fax Number | 7576893832 |
Enumeration Date | 2011-07-29 |
Last Update Date | 2017-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | 0102204441 | VA | Allopathic & Osteopathic Physicians |
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
0102204441 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | VIRGINIA PREMIER HEALTH PLAN | 1588942155 | 01 |
VA | OPTIMA HEALTH | 1588942155 | 01 |
VA | VIRGINIA HEALTH NETWORK | 1588942155 | 01 |
VA | ANTHEM BC/BS | 1588942155 | 01 |
VA | COVENTRY | 1588942155 | 01 |
VA | 1588942155 | 05 | |
NC | 1588942155 | 05 | |
VA | UNITED HEALTHCARE | 1588942155 | 01 |
VA | CORVEL | 1588942155 | 01 |
VA | USA MANAGED CARE | 1588942155 | 01 |
VA | CIGNA | 1588942155 | 01 |
VA | AETNA | 1588942155 | 01 |
VA | MULTIPLAN | 1588942155 | 01 |
VA | TRICARE/CHAMPUS | 1588942155 | 01 |
Street Address |
1950 GLENN MITCHELL DR SUITE 208 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23456-0019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639179153 | Bill Wayne Berry Jr. | Otolaryngology | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2005-07-27 |
1558782086 | Megan Leser | Nurse Practitioner | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 | 2013-12-31 |
1497183164 | Virginia Oncology Associates | Durable Medical Equipment & Medical Supplies | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 | 2013-10-16 |
1174822563 | Sentara Medical Group | Neurological Surgery | 1950 Glenn Mitchell Dr, Ste 200, Virginia Beach, VA 23456-0019 | 2011-03-24 |
1629378823 | Ashley Luna Childers | Physician Assistant | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0048 | 2010-10-22 |
1073849758 | Alyse Y Piper | Physician Assistant | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 | 2009-10-30 |
1124272463 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2008-11-13 |
1760635650 | Ezmin George | Internal Medicine | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2008-10-23 |
1518117829 | Sentara Medical Group | Audiologist | 1950 Glenn Mitchell Dr, Ste. 310b, Virginia Beach, VA 23456-0019 | 2008-09-23 |
1265617864 | Sentara Medical Group | Internal Medicine | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2008-01-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
Find all providers in zip 23456 |
Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366534349 | Matthew N Leyton | Physical Medicine & Rehabilitation | 816 Independence Blvd, Suite 2c, Virginia Beach, VA 23455-6010 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821603663 | Gregory Hartman, Dpt LLC | Physical Medicine & Rehabilitation | 47327 Rock Falls Ter, Sterling, VA 20165-2433 | 2020-09-09 |
1194334326 | Sterling Leann Cupp | Physical Medicine & Rehabilitation | 24180 Belleau Avenue, Quantico, VA 22134-5109 | 2020-07-23 |
1225502883 | Robert Banks | Physical Medicine & Rehabilitation | 6014 Stoddard Ct Apt P2, Alexandria, VA 22315-5607 | 2019-01-17 |
1285131524 | Amber Cook | Physical Medicine & Rehabilitation | 613 Woodcliffe Dr, Colonial Heights, VA 23834-1942 | 2018-04-12 |
1871947564 | Elizabeth Daidone | Physical Medicine & Rehabilitation | 72 Bolling Cir, Palmyra, VA 22963-3247 | 2016-04-19 |
1205246519 | Bon Secours Depaul Medical Center Inc | Physical Medicine & Rehabilitation | 908 Eden Way N Ste 100, Chesapeake, VA 23320-3336 | 2014-05-08 |
1467876789 | Joshua J. Rader | Physical Medicine & Rehabilitation | 1460 University Drive, Shenandoah University, Winchester, VA 22601 | 2014-02-06 |
1497075584 | Stephanie A Giammittorio | Physical Medicine & Rehabilitation | 120 Kings Way Ste 2800, Williamsburg, VA 23185 | 2010-06-11 |
1063489946 | Ricky Randall Lapradd Jr. | Physical Medicine & Rehabilitation | 2102 Grandin Rd Sw, Roanoke, VA 24015-3528 | 2006-03-01 |
1770572885 | Cjw Sports Medicine LLC | Physical Medicine & Rehabilitation | 5309 Commonwealth Parkway, Suite 100, Richmond, VA 23112 | 2005-10-20 |
Find all providers with the same taxonomy |
City | VIRGINIA BEACH |
Zip Code | 23456 |
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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.