PAUL ANTHONY MALDONADO (NPI# 1609298017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609298017 |
| Entity Type | Individual |
| Full Name | PAUL ANTHONY MALDONADO |
| Credential | M.D. |
| Practice Address |
620 John Paul Jones Cir Naval Medical Center Portsmouth Portsmouth VA 23708-2111 |
| Practice Telephone | 7579530669 |
| Mailing Telephone | 7579530669 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 0101258728 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396198941 | Paul Maldonado | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-07-19 |
| Street Address |
620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23708-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054840 | Debra Tooke Crowell | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2005-06-21 |
| 1659970424 | Jennifer T Birchwale | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-22 |
| 1861091985 | Carin Kimberly Teeters | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-20 |
| 1275130825 | Dartangion Pierre Walker | Dental Hygienist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-07 |
| 1750996054 | Kevin Wilfong | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-14 |
| 1598379901 | Paula Shepard | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-02 |
| 1578177234 | Rebekah Gunter | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-01 |
| 1225641863 | Dylan Quoc-chuong Vu | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-08-24 |
| 1467060111 | Ili Yuan | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-20 |
| 1750909172 | Marsades Ceasar | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| Find all providers in zip 23708 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114905692 | Larry Jay Berman | Military Health Care Provider | Uscgc Tahoma (wmec-908), C/o Pnsy Building 170, Portsmouth, NH 03804-5000 | 2006-01-05 |
| 1902882434 | Renard Garcia Scott | Military Health Care Provider | 4000 Coast Guard Blvd, Medical Division, Portsmouth, VA 23703-2135 | 2005-12-16 |
| 1609429182 | Ryan Errol Walter | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-07-23 |
| 1508326802 | Sadid Asad | Military Health Care Provider | 620 John Paul Jones Cir Ste 275, Portsmouth, VA 23708-2197 | 2019-03-22 |
| 1366901522 | Carrie M Dillon | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-03-18 |
| 1952800336 | Robert Smalley | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2018-02-12 |
| 1528429719 | Charles Deblois Meyer | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-03-15 |
| 1215396197 | Erin Williams | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-02-19 |
| 1215394168 | Jane Elizabeth Shelley | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-01-23 |
| 1902226236 | Heather Johnson | Military Health Care Provider | 4000 Coast Guard Blvd, Portsmouth, VA 23703 | 2014-04-25 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23708 |
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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.