DR. THOMAS E KOERTGE (NPI# 1972571909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972571909 |
| Entity Type | Individual |
| Full Name | DR. THOMAS E KOERTGE |
| Credential | D.M.D. |
| Practice Address |
521 N 11th Street Dental Faculty Practice Richmond VA 23298-0566 |
| Mailing Address |
521 N 11th Street Department of Periodontics Richmond VA 23298-0566 |
| Practice Telephone | 8048283368 |
| Mailing Telephone | 8048287952 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401006156 | VA | Dental Providers |
| Street Address |
521 N 11TH STREET DENTAL FACULTY PRACTICE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-0566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114195989 | John C Gunsolley | Dentist | 521 N 11th Street, Richmond, VA 23298 | 2008-02-14 |
| 1992842512 | Karan J Replogle | Dentist | 521 N 11th Street, Richmond, VA 23298-0566 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
| 1659755049 | John White | Dentist | 1101 E. Leigh Street, Perkinson Building, Graduate Periodontics, Richmond, VA 23298 | 2015-07-15 |
| 1083987937 | Christopher Ronald Richardson | Dentist | 4909 Grove Avenue, Richmond, VA 23226 | 2012-02-22 |
| 1558632521 | Sinem Esra Sahingur | Dentist | 424 Weston Way, Richmond, VA 23238-5571 | 2012-01-23 |
| 1114232527 | Justin Hardison | Dentist | 521 N 12th St, Wood Building Room 300, Richmond, VA 23298-5013 | 2010-08-10 |
| 1700063666 | Francisco Tomas Carlos | Dentist | 520 North 11th St, 300 Wood Building, Richmond, VA 23298-0566 | 2008-01-23 |
| 1093927295 | Kevin Christopher Sweeney | Dentist | 8530 Mayland Dr, Richmond, VA 23294-4700 | 2007-05-03 |
| 1548350309 | Stephen Andrew Saroff | Dentist | 2801 Mcrae Road, Suite C1, Richmond, VA 23235 | 2006-10-13 |
| 1073572178 | David M Abbott | Dentist | 16 Willway Ave, Richmond, VA 23226-1334 | 2006-03-20 |
| 1770555153 | Ira Paul Sy | Dentist | Suite 260-6180 Blundell Road, Richmond, BRITISH COLUMBIA V7C 4W7 | 2006-02-01 |
| Find all providers in RICHMOND | ||||
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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.