Dr Jordan Paul Crittenden, MD | |
73 Nealy Ave, Hampton, VA 23665-2040 | |
(757) 764-6950 | |
Not Available |
Full Name | Dr Jordan Paul Crittenden |
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Gender | Male |
Speciality | Surgery |
Location | 73 Nealy Ave, 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 |
---|---|---|---|
1275074346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101276934 (Virginia) | Primary |
208600000X | Surgery | 32273 (Nebraska) | Secondary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Entity Name | Chesapeake Regional Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187 |
Mailing Address | Practice Location Address |
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Dr Jordan Paul Crittenden, MD 73 Nealy Ave, Hampton, VA 23665-2040 Ph: (757) 764-6950 | Dr Jordan Paul Crittenden, MD 73 Nealy Ave, Hampton, VA 23665-2040 Ph: (757) 764-6950 |
Jane Song Nzuna, Surgery Medicare: Medicare Enrolled Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-764-6950 | |
Dr. Gregory Yung Suk Kim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Ste 200, Hampton, VA 23666 Phone: 757-736-7280 Fax: 757-224-3541 | |
Dr. Darren C Koppel, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Dept. Of Surgery, Hampton, VA 23667 Phone: 757-722-9961 | |
Dennis M Cruff, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-736-7280 Fax: 757-224-3541 | |
Dominic Cheung, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 | |
Dr. Michael John Lechman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 |