DR. JEROME L DOVBERG (NPI# 1902964653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902964653 |
| Entity Type | Individual |
| Full Name | DR. JEROME L DOVBERG |
| Credential | D.P.M. |
| Practice Address |
101 S Whiting St Ste 201 Alexandria VA 22304-3418 |
| Practice Telephone | 7033705533 |
| Practice Fax Number | 7036809579 |
| Mailing Telephone | 7033705533 |
| Mailing Fax Number | 7036809579 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103000339 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
0103000339 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
0103000339 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0103000339 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 009301127 | 05 |
| Street Address |
101 S WHITING ST STE 201 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881654929 | Michael Joseph Green | Dentist | 101 S Whiting St, Alexandria, VA 22304-3418 | 2006-03-24 |
| 1366040875 | Crystal Tellechea | Specialist | 101 S Whiting St, Alexandria, VA 22304-3418 | 2020-10-16 |
| 1770070930 | Roiketa Mari Strand | Chiropractor | 101 S Whiting St, Ste 207, Alexandria, VA 22304 | 2018-04-13 |
| 1578805636 | Nova Gynecology Associates LLC | Specialist | 101 S Whiting St, Suite 215, Alexandria, VA 22304-3418 | 2013-03-26 |
| 1548509813 | Kulbir Singh Goraya | Dentist | 101 S Whiting St, Suite# 313, Alexandria, VA 22304-3418 | 2013-02-06 |
| 1255665709 | Sylvia Puttick Rodrigues | Occupational Therapist | 101 S Whiting St, Suite 108, Alexandria, VA 22304-3418 | 2009-09-30 |
| 1962693051 | Oral Surgery Associates of Northern Virginia, Ltd. | Dentist | 101 S Whiting St, Suite 106, Alexandria, VA 22304-3418 | 2007-08-05 |
| 1093924904 | Debra A. Russo Houri | Nutritionist | 101 S Whiting St, Suite 208, Alexandria, VA 22304-3418 | 2007-05-21 |
| 1609097054 | Minh Khue Katherine Dang | Dentist | 101 S Whiting St, Suite 100, Alexandria, VA 22304-3418 | 2007-05-02 |
| 1265595169 | Ma-lowe Home Care Agency, Inc | Home Health | 101 S Whiting St, 303, Alexandria, VA 22304-3418 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770990764 | Ribeiro Foot and Ankle Center | Podiatrist | 4660 Kenmore Ave Ste 602, Alexandria, VA 22304-1300 | 2014-07-22 |
| 1356603922 | Gregory James Cardinal | Podiatrist | 2201 Mount Vernon Ave Ste 105, Alexandria, VA 22301 | 2012-06-11 |
| 1669644977 | Annik Adamson | Podiatrist | 6355 Walker Ln Ste 503, Alexandria, VA 22310-3251 | 2008-03-26 |
| 1063471258 | Ayne F Furman | Podiatrist | 209 Commerce St, Alexandria, VA 22314 | 2006-03-17 |
| 1104890052 | Mid-state Orthopaedic & Sports Medicine Center LLC | Podiatrist | 3444 Masonic Drive, Alexandria, LA 71301-3615 | 2006-02-16 |
| 1992785844 | James A Mann | Podiatrist | 610 30th Ave West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-18 |
| 1801878079 | Geoffrey Bergman | Podiatrist | 1406 Peterman Dr, Alexandria, LA 71301-3432 | 2005-11-15 |
| 1235135815 | Leland T Gilmore | Podiatrist | 8101 Hinson Farm Rd Ste 301, Alexandria, VA 22306-3405 | 2005-06-28 |
| 1265435093 | Roger D Porter | Podiatrist | 7579 Alexandria Pike, Alexandria, KY 41001-1041 | 2005-05-24 |
| 1316598758 | Privia Medical Group, LLC | Podiatrist | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | 2019-09-26 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.