FREDERICK BAGARES


Address: 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019
Phone: 7576898139

FREDERICK BAGARES (NPI# 1588942155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 1950 GLENN MITCHELL DR
SUITE 208
City VIRGINIA BEACH
State VA
Zip Code 23456-0019

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City VIRGINIA BEACH
Zip Code 23456

Improve Information

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Dataset Information

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.

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