DOMINICK A RUGGIERO (NPI# 1629094776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629094776 |
| Entity Type | Individual |
| Full Name | DOMINICK A RUGGIERO |
| Credential | PA-C |
| Practice Address |
612 Kingsborough Sq Ste 100 Chesapeake VA 23320-5041 |
| Mailing Address |
Po Box 7068 Portsmouth VA 23707-0068 |
| Practice Telephone | 7575479294 |
| Practice Fax Number | 7572139342 |
| Mailing Telephone | 7575479294 |
| Mailing Fax Number | 7572139342 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110002303 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1708 Old Donation Pkwy, Virginia Beach, VA 234543064 | 7574193000 | 7572139377 |
| 2000 Meade Pkwy, Suffolk, VA 234344259 | 7579349420 | 7579349366 |
| 400 W Brambleton Ave Ste 104, Norfolk, VA 235101151 | 7576277700 | 7576273841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301337 | Dominick Joseph Ruggiero | Pharmacist | 3300a Centennial Ln, Ellicott City, MD 21042-3600 | 2019-08-15 |
| Street Address |
612 KINGSBOROUGH SQ STE 100 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962450684 | David Krause | Internal Medicine | 612 Kingsborough Sq Ste 100, Chesapeake, VA 23320 | 2006-05-05 |
| 1578186581 | Janice M Stout | Nurse Practitioner | 612 Kingsborough Sq Ste 100, Chesapeake, VA 23320-5041 | 2020-05-26 |
| 1174051148 | Amy M Clements | Nurse Practitioner | 612 Kingsborough Sq Ste 100, Chesapeake, VA 23320-5041 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326596263 | Jonathan David Meadows | Physician Assistant | 1205 Pebble Rock Ct, Chesapeake, VA 23320-8245 | 2016-09-21 |
| 1932504693 | Frank Ring Kara | Physician Assistant | 640 Independence Pkwy Ste 100, Chesapeake, VA 23320-5205 | 2014-10-23 |
| 1922387992 | Terrence Stone | Physician Assistant | 1204 Rixtown Ct, Chesapeake, VA 23322-9094 | 2011-08-09 |
| 1144527581 | Megan Duet Adams | Physician Assistant | 637 Kingsborough Sq Ste E, Chesapeake, VA 23320 | 2011-02-22 |
| 1861520637 | Russell Guy Lantz | Physician Assistant | 2010 Old Greenbrier Rd Ste B, Chesapeake, VA 23320-2619 | 2007-03-01 |
| 1164471165 | Joyce Anne Lawrence-koenig | Physician Assistant | 648 Grassfield Pkwy Ste 1, Chesapeake, VA 23322-7465 | 2006-05-08 |
| 1174580534 | Robert Seamus Walsh | Physician Assistant | Phy America 1435 Crossways Blvd, Ste 305, Chesapeake, VA 23320 | 2006-04-28 |
| 1770550337 | George L Markham IIi | Physician Assistant | 3241 Western Branch Blvd, Chesapeake, VA 23321-5260 | 2006-03-02 |
| 1013982909 | Ernie L Graves | Physician Assistant | 213 River Walk Pky, Ste 101, Chesapeake, VA 23320 | 2006-02-22 |
| 1316924723 | Andrew Nelson Cheney | Physician Assistant | 1239 Cedar Rd, Chesapeake, VA 23322-7103 | 2005-12-28 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on DOMINICK A RUGGIERO.
| 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.