Dr Jason Howard Hines, DO | |
3000 Coliseum Dr, Hampton, VA 23666-5963 | |
(757) 736-1000 | |
Not Available |
Full Name | Dr Jason Howard Hines |
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Gender | Male |
Speciality | Pediatrics |
Location | 3000 Coliseum Dr, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841381530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 0102201859 (Virginia) | Secondary |
208000000X | Pediatrics | 0102201859 (Virginia) | Primary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
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Dr Jason Howard Hines, DO 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7874 | Dr Jason Howard Hines, DO 3000 Coliseum Dr, Hampton, VA 23666-5963 Ph: (757) 736-1000 |
David Christopher Mari, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-225-6611 | |
Clarissa Rose Lomonaco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-764-5034 | |
Amber Mccusker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Manhattan Square, Hampton, VA 23666 Phone: 757-595-0358 Fax: 757-595-6745 | |
Dr. Elizabeth Fernandez Gantan, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-764-8500 | |
Dr. Kelly Nicole Lujan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-225-6611 | |
Dr. Vickie Cortessa Motley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Executive Dr, Ste. D, Hampton, VA 23666 Phone: 757-826-6889 | |
Dr. Erin Grindlay Tomlin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-225-6611 |