Nicholas P Mancuso (NPI# 1154703171, PAC ID# 6901191998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1154703171 |
| PAC ID by PECOS | 6901191998 |
| Professional Enrollment ID | I20180807001496 |
| Full Name | Nicholas P Mancuso |
| Organization Legal Name | EMERGENCY PHYSICIANS OF TIDEWATER |
| Address |
3920 Bridge Rd A Suffolk VA 23435-1107 |
| Phone Number | 7576863515 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| 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 |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490044 | SENTARA OBICI HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 Gresham Dr, Norfolk, VA 23507-1904 | 7576863508 | EMERGENCY PHYSICIANS OF TIDEWATER |
| 3920 Bridge Rd, A, Suffolk, VA 23435-1107 | 7576863515 | 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 |
| Peter Andrew Ballantyne | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| 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 |
| Street Address |
3920 BRIDGE RD A |
| City | SUFFOLK |
| State | VA |
| Zip | 23435-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Cameron Bunch | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Logan Ross Mcneive | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| 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 |
| Galen Tobey | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Derek John Davies | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Adrian Romero | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Jeffrey J Olson | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Ashley Fox | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Kristen Zach | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth T Shearin | Chiropractic | Slone Chiropractic Clinic P.C. | 2469 Pruden Blvd, Suffolk, VA 23435 |
| Clarence George Clarke | Emergency Medicine | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Deanna Salyer | Physician Assistant | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Edward S Thur | Nurse Practitioner | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Laura Renee Pinkney | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Cassandra A Mccray | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Wendy Marie Curulla | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Jonathan M Byrne | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Brooke Harris Lindborg | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Kean O'hara Oudard Feyzeau | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Find all physicians in zip 23435 | |||
| City | SUFFOLK |
| Zip Code | 23435 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SUFFOLK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Nicholas P Mancuso.
| 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.