NORFOLK COMMUNITY HEALTH CENTER INC (NPI# 1659441814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659441814 |
| Entity Type | Organization |
| Organization Name | NORFOLK COMMUNITY HEALTH CENTER INC |
| Practice Address |
1401 Tidewater Drive Ste 1 Norfolk VA 23504 |
| Practice Telephone | 7576230095 |
| Practice Fax Number | 7576231203 |
| Mailing Telephone | 7576230095 |
| Mailing Fax Number | 7576231203 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHILLIP DANIEL BROOKS (PRESIDENT) |
| Authorized Official Telephone | 7576230095 |
| Authorized Official Credential | ADM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | 131851 | 01 |
| VA | ANTHEM | 176497 | 01 |
| NC | 5902199 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Norfolk Community Health Center Inc. | 1401 Tidewater Drive, Ste 1, Norfolk, Virginia 23504 |
| Street Address |
1401 TIDEWATER DRIVE STE 1 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669526109 | Dianna Beale White | Nurse Practitioner | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1881601094 | Community Personal Care Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1761 Church Street, Norfolk, VA 23504 | 2006-08-01 |
| Find all providers in zip 23504 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144708371 | Alison Stover | Family Medicine | 110 N 29th St Ste 101, Norfolk, NE 68701-4461 | 2018-07-31 |
| 1689169344 | Faith Regional Physician Services, LLC | Family Medicine | 110 N 29th St Ste 201, Norfolk, NE 68701-4461 | 2018-06-26 |
| 1558879346 | Sentara Medical Group | Family Medicine | 301 Riverview Ave Ste 930, Norfolk, VA 23510-1068 | 2018-01-16 |
| 1194243410 | Nmg LLC | Family Medicine | 301 N 27th St Ste 1, Norfolk, NE 68701-4457 | 2017-09-07 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1063864981 | Losika Sivaganeshan | Family Medicine | 900 W Norfolk Ave Ste 100, Norfolk, NE 68701-5006 | 2016-07-02 |
| 1235506387 | Jason Charles Evers | Family Medicine | 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 | 2015-08-25 |
| 1992185011 | Marcia Nicole Newby-goodman | Family Medicine | 930 Majestic Ave Ste 220, Norfolk, VA 23504-4055 | 2015-06-03 |
| 1124438437 | Bon Secours Depaul Medical Center Inc | Family Medicine | 4211 Monarch Way, Norfolk, VA 23508-2540 | 2014-05-08 |
| 1629489935 | Joshua Robert Beer | Family Medicine | 1363 Magnolia Ave, Norfolk, VA 23508-1121 | 2014-05-08 |
| 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.