MICHAEL JOSEPH SHALLCROSS (NPI# 1962965624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962965624 |
| Entity Type | Individual |
| Full Name | MICHAEL JOSEPH SHALLCROSS |
| Credential | MD |
| Practice Address |
10510 Jefferson Ave Ste A Newport News VA 23601-3102 |
| Practice Telephone | 7575943800 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10510 JEFFERSON AVE STE A |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558596031 | Tam Xuan Tran | Family Medicine | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2009-05-27 |
| 1639798903 | Travis Chase Lipscomb | Family Medicine | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-15 |
| 1104445725 | Katya Kerstin De La Torre | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-14 |
| 1538788153 | Melissa Mohnal | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-14 |
| 1285253989 | Hasamone April Nimjareansuk | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-13 |
| 1740809334 | Patrick Pagador | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-13 |
| 1295364446 | Meghna Chopra | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-08 |
| 1841829728 | Daniel Ripley | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-03 |
| 1083243950 | Kathleen Mcauley White | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-04-03 |
| 1962030304 | Stephen Lester Woodall II | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891520 | Frank Chilli | Student in an Organized Health Care Education/Training Program | 5 Oakland Dr, Newport News, VA 23601-3622 | 2020-11-08 |
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1811526551 | Christopher Michael Glynn | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd Dept Of, Newport News, VA 23601-1929 | 2020-04-04 |
| 1073142840 | Matthew William Albright | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd Bldg 2nd, Newport News, VA 23601-1929 | 2020-04-03 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1386105476 | Ashley Reeves Kelly | Student in an Organized Health Care Education/Training Program | 4709 Madison Ave, Newport News, VA 23607-2135 | 2019-03-29 |
| 1144796343 | Ella Ann Nancy Lawrence | Student in an Organized Health Care Education/Training Program | 899 Pan Ct, Newport News, VA 23601-1075 | 2018-10-16 |
| 1821595943 | Lilliam Esther Clinger | Student in an Organized Health Care Education/Training Program | Riverside Ob-gyn Residency, Riverside Brentwood Medical, Center, 10510 Jefferson Avenue, Suite D, Newport News, VA 23601-3102 | 2018-04-06 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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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.