ELEANOR LYNN DEGUZMAN-BERUBE (NPI# 1669440061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669440061 |
| Entity Type | Individual |
| Full Name | ELEANOR LYNN DEGUZMAN-BERUBE |
| Credential | M.D. |
| Practice Address |
108 Knells Ridge Blvd Suite 100 Chesapeake VA 23320-4885 |
| Practice Telephone | 7574361234 |
| Practice Fax Number | 7575483665 |
| Mailing Telephone | 7574361234 |
| Mailing Fax Number | 7575483665 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | BD6117116 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 080140047 | 01 | |
| VA | 5636167 | 05 | |
| 2890231 | CIGNA | 01 | |
| VA | ANTHEM BCBS | 264508 | 01 |
| AETNA | 5524667 | 01 |
| Street Address |
108 KNELLS RIDGE BLVD SUITE 100 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241594 | Stephanie Danielle Holton | Nurse Practitioner | 108 Knells Ridge Blvd, Chesapeake, VA 23320-4885 | 2019-02-17 |
| 1992145502 | Amanda Lee Gosman | Nurse Practitioner | 108 Knells Ridge Blvd, Suite 100, Chesapeake, VA 23320-4885 | 2013-06-27 |
| 1871885616 | Megan Cannon | Nurse Practitioner | 108 Knells Ridge Blvd, Suite 100, Chesapeake, VA 23320-4885 | 2011-05-12 |
| 1316137359 | Diana C Porter | Nurse Practitioner | 108 Knells Ridge Blvd, Suite 100, Chesapeake, VA 23320-4885 | 2007-07-26 |
| 1396879177 | Elizabeth Dove | Nurse Practitioner | 108 Knells Ridge Blvd, Suite 100, Chesapeake, VA 23320-4885 | 2007-03-15 |
| 1538299284 | Denise C Cox | Nurse Practitioner | 108 Knells Ridge Blvd, Suite 100, Chesapeake, VA 23320-4885 | 2007-03-06 |
| 1255404430 | Hampton Lee Beasley | Physical Therapist | 108 Knells Ridge Blvd, Suite 200, Chesapeake, VA 23320-4885 | 2006-11-16 |
| 1982637575 | Ronald W. Atwood, M.d., P.C. | Family Medicine | 108 Knells Ridge Blvd, Suite 108, Chesapeake, VA 23320-4885 | 2006-07-08 |
| 1932177375 | Ronald Wayne Atwood | Family Medicine | 108 Knells Ridge Blvd, Suite 100, Chesapeake, VA 23320-4885 | 2006-03-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1578958211 | Angel Miller | Family Medicine | 1405 Kempsville Rd, Chesapeake, VA 23320 | 2015-03-31 |
| 1114339611 | Jodi A Newcombe | Family Medicine | 725 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1621 | 2014-06-02 |
| 1306257043 | Marvyn Grayson II | Family Medicine | 1933 Edwin Dr Ste 208, Chesapeake, VA 23322-6531 | 2014-05-15 |
| 1154612778 | Ronald Curtis Galyon | Family Medicine | 637 Kingsborough Sq Ste F, Chesapeake, VA 23320-4944 | 2011-04-30 |
| 1083935209 | David J Zelinskas | Family Medicine | 1016 Justis St., Chesapeake, VA 23325-2516 | 2010-06-22 |
| 1912136946 | Ryan Eugene Light | Family Medicine | 1100 Volvo Pkwy, Suite 100, Chesapeake, VA 23320-3341 | 2009-07-13 |
| 1700030848 | Glenn Barron Cheshire | Family Medicine | 1218 Lilac Ave, Chesapeake, VA 23325-2920 | 2008-11-14 |
| 1124279435 | Patient First Richmond Medical Group Pllc | Family Medicine | 2425 Taylor Road, Chesapeake, VA 23321 | 2008-10-06 |
| 1275784555 | Jolson Korah Tharakan | Family Medicine | 648 Grassfield Pkwy, Suite 1, Chesapeake, VA 23322-7465 | 2008-10-06 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on ELEANOR LYNN DEGUZMAN-BERUBE.
| 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.