Peter Andrew Ballantyne (NPI# 1154357648, PAC ID# 0941103329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1154357648 |
| PAC ID by PECOS | 0941103329 |
| Professional Enrollment ID | I20100426000025 |
| Full Name | Peter Andrew Ballantyne |
| Organization Legal Name | EMERGENCY PHYSICIANS OF TIDEWATER |
| Address |
4092 Foxwood Dr Suite 101 Virginia Beach VA 23462-5225 |
| Phone Number | 7574674200 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5092618462 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| 490044 | SENTARA OBICI HOSPITAL |
| 490046 | SENTARA LEIGH HOSPITAL |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 7574674200 | EMERGENCY PHYSICIANS OF TIDEWATER |
| Organization Legal Name | EMERGENCY PHYSICIANS OF TIDEWATER |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Cameron Bunch | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Clay Lifton | Emergency Medicine | Emergency Physicians of Tidewater | 800 Independence Blvd, Virginia Beach, VA 23455-6011 |
| Alex Reichmeider | Emergency Medicine | Emergency Physicians of Tidewater | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Logan Ross Mcneive | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Susan J Letterle | Emergency Medicine | Emergency Physicians of Tidewater | 830 Kempsville Rd, Norfolk, VA 23502-3920 |
| Francis Lee Counselman | Emergency Medicine | Emergency Physicians of Tidewater | 600 Gresham Dr, Norfolk, VA 23507-1904 |
| David Taylor Gammons | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Theodore Jon Tzavaras | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Eric Szymanski | Emergency Medicine | Emergency Physicians of Tidewater | 800 Independence Blvd, Virginia Beach, VA 23455-6011 |
| Nicholas P Mancuso | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Street Address |
4092 FOXWOOD DR SUITE 101 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23462-5225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew H Jones | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Harry R Lustig | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Scott D Mccann | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Stephanie S Marangoni | Nurse Practitioner | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Donald V Byars Ii | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Thomas W Wagner | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Michael Joseph Bono | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Anjeza Cipi | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Thomas L Vizioli | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| George C Luiskutty | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue Hudson | Internal Medicine | 802 Newtown Rd, Virginia Beach, VA 23462-1116 | |
| Tiffany R Dicenso | Nurse Practitioner | Tidewater Integrative Health PC | 802 Newtown Rd, Virginia Beach, VA 23462-1116 |
| Dau T Le | Internal Medicine | 5441 Virginia Beach Blvd, Suite 111, Virginia Beach, VA 23462-1749 | |
| Samuel Robinson | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Elizabeth Runzo | Physical Therapy | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Michelle Marilyn Smith | Nurse Practitioner | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Nicholas A Midis | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| James E Dowd | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Kara P Hood | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Justin W Griffin | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Find all physicians in zip 23462 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | VIRGINIA BEACH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Peter Andrew Ballantyne.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.