DR. ANTHONY J DISTASIO II (NPI# 1831195353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831195353 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY J DISTASIO II |
| Credential | M.D. |
| Practice Address |
600 Gresham Dr Ste 204 Norfolk VA 23507-1904 |
| Practice Telephone | 7573885680 |
| Practice Fax Number | 7573885681 |
| Mailing Telephone | 7573885680 |
| Mailing Fax Number | 7573885681 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101041449 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
0101041449 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007306091 | 05 |
| Street Address |
600 GRESHAM DR STE 204 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816217 | Dianna Lynn Oliver | Orthopaedic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2017-12-08 |
| 1578854956 | Suneel Bhat | Orthopaedic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2011-04-20 |
| 1215994819 | Elizabeth Ann Schleck | Nurse Practitioner | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2006-04-27 |
| 1699769562 | Douglas R Trzcinski | Plastic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816217 | Dianna Lynn Oliver | Orthopaedic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2017-12-08 |
| 1578854956 | Suneel Bhat | Orthopaedic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568692879 | Sentara Medical Group | Orthopaedic Surgery | 1080 First Colonial Rd Ste 305, Virginia Beach, VA 23454-2406 | 2009-07-21 |
| 1073950499 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 16000 Johnston Memorial Dr, Suite 100 A, Abingdon, VA 24211-7659 | 2013-05-24 |
| 1538503545 | Ahmad H Fashandi | Orthopaedic Surgery | 545 Ray C Hunt Dr, Charlottesville, VA 22903 | 2013-04-21 |
| 1942468772 | Ryan B Graves | Orthopaedic Surgery | 1250 E Marshall St, Orthopaedic Surgery, Richmond, VA 23298-5051 | 2008-05-29 |
| 1285835736 | Seth R. Yarboro | Orthopaedic Surgery | 545 Ray C. Hunt Drive, Suite 310, Charlottesville, VA 22903-0001 | 2007-05-31 |
| 1255465480 | H. George White Jr. | Orthopaedic Surgery | 545 Ray C Hunt Dr, Charlottesville, VA 22908-0001 | 2007-03-16 |
| 1407884943 | Cary C Schwartzbach | Orthopaedic Surgery | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2006-06-30 |
| 1932135662 | Alireza Malekzadeh | Orthopaedic Surgery | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2006-06-24 |
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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.