Dr James Sylvester Ebertowski Ii, MD | |
5424 Discovery Blvd, Bldg B, Ste 203, Willamsburgh, VA 23188 | |
(757) 345-6223 | |
Not Available |
Full Name | Dr James Sylvester Ebertowski Ii |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 15 Years |
Location | 5424 Discovery Blvd, Bldg B, Ste 203, Willamsburgh, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932336203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 0101248205 (Virginia) | Secondary |
208800000X | Urology | 75616 (Georgia) | Secondary |
208800000X | Urology | 0061398 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centura Health-penrose St Francis Health Services | Colorado springs, CO | Hospital |
St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Springs Urological Associates Llc | 6709155393 | 19 |
Catholic Health Initiatives Colorado | 8022927342 | 972 |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Entity Name | Valley View Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730897109 PECOS PAC ID: 1850294778 Enrollment ID: O20040129000027 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Entity Name | Colorado Springs Urological Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649704826 PECOS PAC ID: 6709155393 Enrollment ID: O20170713002171 |
Mailing Address | Practice Location Address |
---|---|
Dr James Sylvester Ebertowski Ii, MD 860 Omni Blvd Ste 128, Newport News, VA 23606-4483 Ph: (757) 964-8739 | Dr James Sylvester Ebertowski Ii, MD 5424 Discovery Blvd, Bldg B, Ste 203, Willamsburgh, VA 23188 Ph: (757) 345-6223 |