Amanda Kubin (NPI# 1174979009, PAC ID# 9436446648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174979009 |
| PAC ID by PECOS | 9436446648 |
| Professional Enrollment ID | I20160930001514 |
| Full Name | Amanda Kubin |
| Organization Legal Name | SEASIDE BEHAVIORAL HEALTH |
| Address |
1072 Laskin Rd Suite 104 Virginia Beach VA 23451-6387 |
| Phone Number | 7576488605 |
| Gender | F |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709168776 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 Riverview Ave, Norfolk, VA 23510-1065 | SENTARA MEDICAL GROUP | |
| 836 Glenrock Rd, Suite 100, Norfolk, VA 23502-3702 | 7572522900 | SENTARA MEDICAL GROUP |
| 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 | 7576488605 | SEASIDE BEHAVIORAL HEALTH |
| Organization Legal Name | SEASIDE BEHAVIORAL HEALTH |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer F Brown | Certified Clinical Nurse Specialist (cns) | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Kelly M Higgins | Clinical Social Worker | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Gavin R Cone | Clinical Social Worker | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Shannon Woods Cray | Psychologist, Clinical | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Phyllis M Eaton | Clinical Nurse Specialist | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Mary G. Crutchfield | Nurse Practitioner | Seaside Behavioral Health | 1072 Laskin Rd, Virginia Beach, VA 23451-6387 |
| Street Address |
1072 LASKIN RD SUITE 104 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23451-6387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer F Brown | Certified Clinical Nurse Specialist (cns) | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Kelly M Higgins | Clinical Social Worker | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Gavin R Cone | Clinical Social Worker | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Shannon Woods Cray | Psychologist, Clinical | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Phyllis M Eaton | Clinical Nurse Specialist | Seaside Behavioral Health | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6387 |
| Mary G. Crutchfield | Nurse Practitioner | Seaside Behavioral Health | 1072 Laskin Rd, Virginia Beach, VA 23451-6387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer D Mcclain | Certified Registered Nurse Anesthetist (crna) | Tidewater Anesthesia Inc | 1201 1st Colonial Rd, Viginia Beach, VA 23451 |
| Kristine J Salvador | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Issel Marie Mckenzie | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Christine M Ohlstein | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Lisa S Bell | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Robert Thoma | Chiropractic | 2244 Sunstates Ct, Suite 104, Virginia Beach, VA 23451-1552 | |
| Jacob T Mccrowell | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Stephen L Mckenzie | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Kiley J Fletcher | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Dana M Strozier | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Find all physicians in zip 23451 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VIRGINIA BEACH + PHYSICIAN ASSISTANT |
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| 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.