Leocadio B Penalosa Jr.


Address: 301 Goode Way, Suite 204, Portsmouth, VA 23704-2266
Phone: 7573975301

Leocadio B Penalosa Jr. (NPI# 1235241092, PAC ID# 3870789084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1235241092
PAC ID by PECOS 3870789084
Professional Enrollment ID I20101130001238
Full Name Leocadio B Penalosa Jr.
Address 301 Goode Way
Suite 204
Portsmouth
VA 23704-2266
Phone Number 7573975301
Gender M
Graduation Year 1967
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490017 BON SECOURS MARYVIEW MEDICAL CENTER
490007 SENTARA NORFOLK GENERAL HOSPITAL
490120 CHESAPEAKE GENERAL HOSPITAL

Other Locations

Address Phone Organization
301 Goode Way, Suite 204, Portsmouth, VA 23704-2266 7573975301
301 Goode Way, Portsmouth, VA 23704-2266 7573975301

Organization Information

Office Location

Street Address 301 GOODE WAY
SUITE 204
City PORTSMOUTH
State VA
Zip 23704-2266

Physicians in the same location

Name Specialty Organization Address
Barbara Sarris Internal Medicine Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
Nihar R Bhowmik Internal Medicine 301 Goode Way, Suite 103, Portsmouth, VA 23704-2266
Dilafroze A Thanadar Registered Dietitian Or Nutrition Professional 301 Goode Way, Suite 201, Portsmouth, VA 23704-2266
Mosta Gausel Haque Nephrology 301 Goode Way, Suite 201, Portsmouth, VA 23704-2266
Vishwas Jitendrabahai Patel Internal Medicine Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
Noel L Hunte Internal Medicine Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
Peter D Paik Hospitalist Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
Kabaye Berhanu Internal Medicine Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
Basavalinga S Talur Matadha Internal Medicine Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
Raymund S Dumaran Internal Medicine Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
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Physicians in the same zip code

Name Specialty Organization Address
Huma M Hyder Psychiatry 901 Enterprise Way, Portsmouth, VA 23704-2200
William Damron Optometry Dr James V Cornetta Ltd 226 Fort Ln, Portsmouth, VA 23704-2220
James Vincent Cornetta Optometry Dr James V Cornetta Ltd 226 Fort Ln, Portsmouth, VA 23704-2220
Celeste N Lewis Optometry Dr James V Cornetta Ltd 226 Fort Ln, Portsmouth, VA 23704-2220
Roderick R Mackinnon Internal Medicine Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
Donald Holzer Neurology Maryview Hospital 301 Goode Way, Portsmouth, VA 23704-2266
David L Akins Internal Medicine Akins Medical Group 301 Goode Way, Suite 101, Portsmouth, VA 23704-2266
Reymond G Pascual General Surgery 704 London St, Portsmouth, VA 23704-2413
Cecilia Adjeley Otoo Nurse Practitioner Maryview Hospital 355 Crawford St, Suite 300, Portsmouth, VA 23704-2819
Lloyd A Shabazz Hematology/oncology Maryview Hospital 355 Crawford St, Suite 300, Portsmouth, VA 23704-2819
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Competitor

Search similar physicians

City PORTSMOUTH
Zip Code 23704
Specialty FAMILY PRACTICE
City + Specialty PORTSMOUTH + FAMILY PRACTICE

Improve Information

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Dataset Information

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.

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