EAST BEACH URGENT CARE LLC (NPI# 1760919625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760919625 |
Entity Type | Organization |
Organization Name | EAST BEACH URGENT CARE LLC |
Other Organization Name | EAST BEACH URGENT CARE |
Practice Address |
9545 Shore Dr Norfolk VA 23518-1711 |
Practice Telephone | (757) 785-4861 |
Mailing Telephone | 7577854861 |
Enumeration Date | 2017-05-22 |
Last Update Date | 2017-10-02 |
Authorized Official Name | SCOTT MCCANN (OWNER) |
Authorized Official Telephone | 9194918795 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
East Beach Urgent Care | Doing Business As Name - Organization |
Street Address |
9545 SHORE DR |
City | NORFOLK |
State | VA |
Zip Code | 23518-1711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942681556 | Ashley Marie Brittingham | Nurse Practitioner | 9545 Shore Dr, Norfolk, VA 23518-1711 | 2015-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767793 | Warminster Place LLC | Public Health or Welfare | 7020 Old Mill Road, Norfolk, VA 23518 | 2020-10-11 |
1265907034 | Kare for All LLC | Home Health Aide | 1216 East Little Rd, Suite 200d, Norfolk, VA 23518 | 2018-10-09 |
1962986331 | Trinity Home Health Services, Inc | Home Health | 1301 E. Little Creek Rd #7, Norfolk, VA 23518 | 2018-09-20 |
1619459633 | Moataz Nasser Elmahdy | Dentist | 2338 East Little Greek Rd, Norfolk, VA 23518 | 2018-09-06 |
1841744752 | Syreeta Chance | Social Worker | 1500 East Little Creek Rd., Norfolk, VA 23518 | 2016-08-09 |
1326490004 | Elizabeth Jeanne Polinsky | Social Worker | The Relationship Center, Attn: Elizabeth Polinsky, Lcsw, 4615 Pleasant Ave., Suite B, Norfolk, VA 23518 | 2016-07-06 |
1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
1992054217 | Kimberly Ann Dupra | Licensed Practical Nurse | 1354 Elk Avenue, Norfolk, VA 23518 | 2012-08-31 |
1689963712 | Sarah Dawn Elaine Penston | Counselor | 8227 Old Ocean View Rd, Norfolk, VA 23518 | 2011-03-29 |
1821239690 | Elizabeth Dalton | Student in an Organized Health Care Education/Training Program | 3802 Heutte Dr., Norfolk, VA 23518 | 2009-03-09 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1972750420 | Tidewater Weight Loss and Wellness Centers,inc. | Clinic/Center | 2468 E Little Creek Rd, Suite B, Norfolk, VA 23518-3231 | 2008-08-26 |
1821259409 | Pnmc | Clinic/Center | 1115 Peddars Way, Norfolk, VA 23505-1429 | 2008-06-17 |
1467086660 | Ourhealth Physician Group, LLC | Clinic/Center | 5800 Northampton Blvd, Norfolk, VA 23502-5513 | 2020-02-26 |
1003322777 | Velocity Urgent Care, LLC | Clinic/Center | 1326 E Little Creek Rd, Norfolk, VA 23518-3952 | 2017-12-18 |
1033631601 | Hendon Family Chiropractic, LLC | Clinic/Center | 957 W 21st St Ste F, Norfolk, VA 23517-1536 | 2017-07-14 |
1801318613 | Gail D. Steckler, D.o., P.C. | Clinic/Center | 830 Kempsville Rd, Norfolk, VA 23502-3920 | 2017-07-13 |
1386005072 | Hampton Roads Hyperbaric Therapy, Inc | Clinic/Center | 129 W Virginia Beach Blvd, Suite 140, Norfolk, VA 23510-2030 | 2016-03-09 |
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1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
1104461896 | Lung Specialists of Tidewater Pllc | Clinic/Center | 224 Avonlea Pointe, Chesapeake, VA 23322-4279 | 2019-11-17 |
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1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
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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.