CEDRIC D PINCKENS MD (NPI# 1952561193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952561193 |
| Entity Type | Organization |
| Organization Name | CEDRIC D PINCKENS MD |
| Practice Address |
400 Gresham Dr Ste 503 Norfolk VA 23507-1901 |
| Practice Telephone | 7576237575 |
| Mailing Telephone | 7576237575 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | MARY KARRAS (BILLING SUPERVISOR) |
| Authorized Official Telephone | 7574108954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101050934 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790578M | 05 | |
| VA | 007303874 | 05 |
| Street Address |
400 GRESHAM DR STE 503 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269483 | Alex Olabode Williams | Internal Medicine | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2005-07-20 |
| 1609311760 | Vrx1 LLC | Pharmacy | 400 Gresham Dr, Suite 104, Norfolk, VA 23507-1901 | 2016-12-28 |
| 1891143855 | Lisa J Ulmer | Psychologist | 400 Gresham Dr, Suite 900, Norfolk, VA 23507-1901 | 2016-06-01 |
| 1245690403 | Healthstat Onsite Clinic Chkd | Preventive Medicine | 400 Gresham Dr, Suite 406 Medical Tower, Norfolk, VA 23507-1901 | 2016-03-02 |
| 1740618412 | Bon Secours Depaul Medical Center | Internal Medicine | 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 | 2013-10-16 |
| 1306157847 | Trisha Marie Stueber | Physician Assistant | 400 Gresham Dr, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1346551736 | Ghent Internal Medicine PC | Internal Medicine | 400 Gresham Dr, Ste. 205, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1568787638 | Meaghan G Dehart | Registered Nurse | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2010-04-01 |
| 1699936112 | Sharon Murphy Finefrock | Advanced Practice Midwife | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-18 |
| 1144480757 | Rachel E Rotenberry | Nurse Practitioner | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-17 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952818189 | Gabrielle Dorann Martineau | Specialist | 52 Pleasant Dr, Norfolk, NY 13667-3296 | 2018-01-09 |
| 1548704570 | Nicole Anthony | Specialist | 242 W 26th St, Norfolk, VA 23517-1312 | 2016-12-09 |
| 1497206692 | Ruth Short | Specialist | 28 Sober St, Norfolk, NY 13667-4147 | 2016-10-23 |
| 1053742676 | Ericka D. Thompson | Specialist | 400 W Brambleton Ave Ste 300, Norfolk, VA 23510-1115 | 2013-12-07 |
| 1831476472 | Lorena Decker | Specialist | 870 N Military Hwy, 310, Norfolk, VA 23502-3638 | 2011-11-10 |
| 1568609857 | Terry Escobar | Specialist | 6200 Curlew Dr, Norfolk, VA 23502-4718 | 2009-01-08 |
| 1609011568 | Parker Babington | Specialist | 301 Riverview Ave Ste 400, Norfolk, VA 23510-1065 | 2008-12-07 |
| 1902094022 | Retinal Consultants Inc | Specialist | 400 Gresham Dr Ste 802, Norfolk, VA 23507-1901 | 2007-10-15 |
| 1720272594 | Jennifer Z Vevoda | Specialist | 171 Kempsville Rd Bldg A1, Norfolk, VA 23502-4700 | 2007-09-05 |
| 1770704819 | The Orthopaedic Center for Foot & Ankle Reconstruction | Specialist | 100 Kingsley Ln Ste 300, Norfolk, VA 23505-4613 | 2007-05-02 |
| Find all providers in NORFOLK | ||||
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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.