Edward M Prodanovic (NPI# 1306067640, PAC ID# 2668609777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1306067640 |
| PAC ID by PECOS | 2668609777 |
| Professional Enrollment ID | I20170927002994 |
| Full Name | Edward M Prodanovic |
| Organization Legal Name | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION |
| Address |
1950 Glenn Mitchell Dr Suite 208 Virginia Beach VA 23456-0168 |
| Phone Number | 7576898139 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5698675510 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 721 Fairfax Ave, Suite 200, Norfolk, VA 23507-2007 | 7574465629 | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION |
| 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0168 | 7576898139 | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% |
| Organization Legal Name | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION |
| Physicians | 214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth B. Jenkins | Endocrinology | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Jennifer M. Flaherty | Psychologist, Clinical | Evms Academic Physicians and Surgeons Health Services Foundation | 721 Fairfax Ave, Suite 244, Norfolk, VA 23507-2007 |
| Lauren W. Mazzurco | Geriatric Medicine | Evms Academic Physicians and Surgeons Health Services Foundation | 1005 Hampton Blvd, Norfolk, VA 23507-1505 |
| Jennifer A Thomas | Nurse Practitioner | Evms Academic Physicians and Surgeons Health Services Foundation | 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 |
| Bruce S Britton | Family Medicine | Evms Academic Physicians and Surgeons Health Services Foundation | 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 |
| Laurel A Stadtmauer | Endocrinology | Evms Academic Physicians and Surgeons Health Services Foundation | 601 Colley Ave, Norfolk, VA 23507-1697 |
| Eileen M Althouse | Certified Clinical Nurse Specialist (cns) | Evms Academic Physicians and Surgeons Health Services Foundation | 501 Medical Tower, Norfolk, VA 23507 |
| Richard M. Whalen | Family Medicine | Evms Academic Physicians and Surgeons Health Services Foundation | 825 Fairfax Ave, Suite 118, Norfolk, VA 23507-1914 |
| Paul A Sayegh | Psychiatry | Evms Academic Physicians and Surgeons Health Services Foundation | 825 Fairfax Ave, Suite 710, Norfolk, VA 23507-1914 |
| Rebecca C Britt | General Surgery | Evms Academic Physicians and Surgeons Health Services Foundation | 825 Fairfax Ave, Suite 610, Norfolk, VA 23507-1914 |
| Street Address |
1950 GLENN MITCHELL DR SUITE 208 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23456-0168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chandra T Hall | Nurse Practitioner | Sentara Medical Group | 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019 |
| Nayeem Karim | Neurology | Sentara Medical Group | 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019 |
| Alyse Y Piper | Physician Assistant | Sentara Medical Group | 1950 Glenn Mitchell Dr, Virginia Beach, VA 23456-0048 |
| Brittany Leigh Diehl | Physician Assistant | Evms Academic Physicians and Surgeons Health Services Foundation | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0168 |
| Kimberly S Sparks | Qualified Audiologist | Sentara Medical Group | 1950 Glenn Mitchell Dr, 310a, Virginia Beach, VA 23456-0019 |
| Christine H Gow | Psychologist, Clinical | Sentara Medical Group | 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019 |
| Melissa P Hunter | Psychologist, Clinical | Sentara Medical Group | 1950 Glenn Mitchell Dr, Virginia Beach, VA 23456-0019 |
| Ashley Martin | Physician Assistant | Virginia Oncology Associates | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 |
| Eric J Dobratz | Otolaryngology | Evms Academic Physicians and Surgeons Health Services Foundation | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0168 |
| Abby S. Van Voorhees | Dermatology | Evms Academic Physicians and Surgeons Health Services Foundation | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0168 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Sinesi | Radiation Oncology | Virginia Oncology Associates | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 |
| Mark E. Shaves | Radiation Oncology | Virginia Oncology Associates | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 |
| Gunadhar Panigrahi | Cardiovascular Disease (cardiology) | Sentara Medical Group | 2075 Glenn Mitchell Dr, Suite 512a, Virginia Beach, VA 23456-0019 |
| Laura A. Jackson | Nurse Practitioner | Sentara Medical Group | 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019 |
| Audrey Walker | Nurse Practitioner | Virginia Oncology Associates | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 |
| Allison L Boyd | Physician Assistant | Sentara Medical Group | 1950 Glenn Mitchell Dr, Virginia Beach, VA 23456-0019 |
| Kenneth F More | Medical Oncology | Virginia Oncology Associates | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 |
| Julia L King | Nurse Practitioner | Virginia Oncology Associates | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 |
| Kristina F Peron | Nurse Practitioner | Sentara Medical Group | 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019 |
| Latonya D. Russell Messerschmitt | Pediatric Medicine | Sentara Medical Group | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 |
| Find all physicians in zip 23456 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
| Specialty | DERMATOLOGY |
| City + Specialty | VIRGINIA BEACH + DERMATOLOGY |
Please comment or provide details below to improve the information on Edward M Prodanovic.
| 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.