DR. JASON PAUL SULKOWSKI (NPI# 1760644330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760644330 |
| Entity Type | Individual |
| Full Name | DR. JASON PAUL SULKOWSKI |
| Credential | MD |
| Practice Address |
1000 E Broad St Richmond VA 23219-1930 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8048283500 |
| Practice Fax Number | 8048288606 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 0101266703 | VA | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
0101266703 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10528 Spotsylvania Ave, Fredericksburg, VA 224082710 | 8048282467 | 5408913715 |
| 1250 E Marshall St, Richmond, VA 232985051 | 8048283500 | 8048288606 |
| 5855 Bremo Rd, Richmond, VA 232261930 | 8046629007 | 8046629010 |
| 7155 Jahnke Rd, Richmond, VA 232254017 | 8043232847 | 8043230824 |
| Street Address |
1000 E BROAD ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23219-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305884 | Alyssa Regula | Dietitian, Registered | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-08-04 |
| 1932722667 | Jaimie Mary Parambil | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-28 |
| 1396368130 | Samuel Jonathan Pouncey | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-27 |
| 1396368155 | Christopher Ferrante | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-27 |
| 1780221226 | Erica Michelle Mitchell | Nurse Practitioner | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-12-03 |
| 1295376135 | Christina N. Murphy | Psychologist | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-10-02 |
| 1003377805 | Jessica Hallam | Registered Nurse | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-03-26 |
| 1417426248 | Kyong Jin Lee | Internal Medicine | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-11-22 |
| 1386121416 | Lisa Lynn Rettig | Nurse Practitioner | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-07-21 |
| 1760973382 | Brook Vanbuesking | Social Worker | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306337910 | Patricia Young Flynn | Psychologist | Richmond Public Schools, Dept. of Exceptional Education, 301 N. Ninth Street, Richmond, VA 23219 | 2018-05-21 |
| 1558859173 | Marie Rhodes-dawson | Psychologist | 301 North Ninth Street, Richmond, VA 23219 | 2018-04-30 |
| 1639674369 | Kelly Schmid Mccrowell | Psychologist | 301 N. 9th Street, Psychological Services/exceptional Education, Richmond, VA 23219 | 2018-03-26 |
| 1104321033 | Veronica Leigh Wiles | Occupational Therapist | 301 North 9th Street, Exceptional Education, Richmond, VA 23219 | 2018-03-23 |
| 1780103234 | Brandy Lakesha Rushing | Counselor | 107 S. 5th Street, Richmond, VA 23219 | 2017-09-15 |
| 1134676679 | Richa Chibbar | Student in an Organized Health Care Education/Training Program | 230 N 6th St, Unit 204, Richmond, VA 23219 | 2016-09-01 |
| 1578974788 | Kinlee Stewart | Counselor | 409 E. Main St, #204, Richmond, VA 23219 | 2014-05-12 |
| 1760814941 | Ivey Contacting Service,inc | Day Training, Developmentally Disabled Services | 501 East Frnklin St Stu 724, Richmond, VA 23219 | 2013-07-30 |
| 1154665883 | Ashley Hoover Rhoades | Nurse Practitioner | 701 East Byrd Street, Diamond Health Group, Richmond, VA 23219 | 2012-11-19 |
| 1932461852 | New Legacy Youth Services, LLC | Community/Behavioral Health | 904 North 1st Street, Richmond, VA 23219 | 2012-06-15 |
| Find all providers in zip 23219 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926332 | Richmond Pediatric Surgeons LLC | Surgery | 7115 Jahnke Rd, Richmond, VA 23225-4017 | 2005-10-20 |
| 1629192836 | Laura Anne Boomer | Surgery | 1250 E Marshall St, Richmond, VA 23298-5051 | 2007-03-16 |
| 1295829125 | Patricia A Lange | Surgery | 1250 E Marshall Street, Richmond, VA 23298-0510 | 2006-10-03 |
| 1427049113 | Claudio Oiticica | Surgery | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2005-11-02 |
| 1265423735 | Charles E Bagwell | Surgery | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063196 | Madeleine Holden Snidow | Surgery | 3760 Reeds Landing Cir, Midlothian, VA 23113-1369 | 2020-11-02 |
| 1649884719 | Amal Y Elkhatib | Surgery | 2914 Myrtlewood Dr, Dumfries, VA 22026-2202 | 2020-09-04 |
| 1306074323 | Iljana Marjorie Gaffar | Surgery | 2730 Prosperity Ave Ste C, Fairfax, VA 22031 | 2009-06-29 |
| 1811275407 | Bharath Dwaraka Nath | Surgery | 2730 Prosperity Ave Ste C, Fairfax, VA 22031 | 2011-07-29 |
| 1811160971 | Daniel E. Levin | Surgery | 1204 W Main St, Charlottesville, VA 22903-2824 | 2008-04-10 |
| 1700088242 | Fairfax Neonatal Associates, PC | Surgery | 2730 Prosperity Ave, Ste C, Fairfax, VA 22031-4329 | 2007-06-05 |
| 1700095916 | Joseph Edmond Hartwich | Surgery | 2730 Prosperity Ave Ste B, Fairfax Neonatal Associates, Fairfax, VA 22031-4324 | 2007-05-22 |
| 1063546869 | Bradley M. Rodgers | Surgery | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1992839716 | Eugene D. Mcgahren IIi | Surgery | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-03-15 |
| 1942390836 | Stephen S Kim | Surgery | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
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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.