BREAST CARE SPECIALISTS PC (NPI# 1649499427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649499427 |
| Entity Type | Organization |
| Organization Name | BREAST CARE SPECIALISTS PC |
| Practice Address |
5900 Lake Wright Dr Suite 201 Norfolk VA 23502-1871 |
| Practice Telephone | 7576228032 |
| Practice Fax Number | 7576257016 |
| Mailing Telephone | 7576228032 |
| Mailing Fax Number | 7576257016 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-02-01 |
| Authorized Official Name | MRS. DESIREE MARIE SQUIRES (OFFICE MANAGER) |
| Authorized Official Telephone | 7576228032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | ANTHEM BC BS OF NC | 0695A | 01 |
| VA | ANTHEM BC BS | 250256 | 01 |
| VA | MEDICARE RAILROAD | RR020018463 | 01 |
| Street Address |
5900 LAKE WRIGHT DR SUITE 201 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293966 | Burton F Alexander IIi | Specialist | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2005-05-23 |
| 1689293003 | Joseph Fitzpatrick Doyle | Genetic Counselor, MS | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2020-04-15 |
| 1235765306 | Mallory Matheson | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2020-03-20 |
| 1194282483 | Stacey Warburton | Nurse Practitioner | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2019-02-22 |
| 1346637873 | Karen Woodhouse | Social Worker | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-04-22 |
| 1679965099 | Kristen Rae Taylor | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-02-22 |
| 1699165910 | Juli M Phillips | Nurse Practitioner | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-01-26 |
| 1881010528 | Amanda M Becker | Social Worker | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2014-03-05 |
| 1275961336 | Ashley Maria Payne Martin | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2013-10-28 |
| 1932532744 | Tifany Lewis | Genetic Counselor, MS | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1336567601 | Ryan Carver | Surgery | 880 Kempsville Rd Ste 1000, Norfolk, VA 23502-3978 | 2014-04-02 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1144590779 | Edward Albert Pollard | Surgery | 17 Lois Ln, Norfolk, MA 02056-1823 | 2012-01-12 |
| 1164683009 | Stephanie K Repole | Surgery | 155 Kingsley Ln Ste 405, Norfolk, VA 23505-4629 | 2008-06-23 |
| 1639277544 | Alan Harvey Jaffe | Surgery | 160 Kingsley Ln Ste 205, Norfolk, VA 23505-4600 | 2006-09-21 |
| 1437169042 | Venkat Manoranjan Reddy | Surgery | 400 Gresham Drive, Suite 308, Norfolk, VA 23507 | 2006-08-08 |
| 1114931938 | Thomas M Beutler | Surgery | 301 N 27th St, Suite 1, Norfolk, NE 68701-4457 | 2006-07-28 |
| 1699731901 | Andrew Y Reynolds | Surgery | 301 N 27th St Ste 8, Norfolk, NE 68701-4457 | 2006-04-25 |
| Find all providers in NORFOLK | ||||
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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.