Malcolm James Magovern Iii, MD | |
600 Gresham Dr, Norfolk, VA 23507-1904 | |
(175) 738-8300 | |
Not Available |
Full Name | Malcolm James Magovern Iii |
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Gender | Male |
Speciality | Anesthesiology |
Location | 600 Gresham Dr, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952862351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101278682 (Virginia) | Primary |
Entity Name | Atlantic Anesthesia, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720181514 PECOS PAC ID: 4587562152 Enrollment ID: O20031222000273 |
Entity Name | Consultants In Pain Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366545154 PECOS PAC ID: 1951325950 Enrollment ID: O20060118000331 |
Mailing Address | Practice Location Address |
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Malcolm James Magovern Iii, MD 302 College Ave, Ashland, VA 23005-1613 Ph: (804) 869-7361 | Malcolm James Magovern Iii, MD 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (175) 738-8300 |
Kenneth F. Tiffany, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 | |
Ross H Zoll, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 | |
Steven C Johnson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 | |
Dr. Valbona Kanarek, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 811 Redgate Ave, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658 | |
Kelli A Petronis, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-9222 Fax: 757-668-7568 | |
Allan E Stiner, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 | |
Destiny Fenger Chau, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7320 Fax: 757-668-9735 |