Ralph S Northam, MD | |
601 Childrens Ln, Norfolk, VA 23507-1910 | |
(757) 668-9920 | |
(757) 668-9930 |
Full Name | Ralph S Northam |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 40 Years |
Location | 601 Childrens Ln, Norfolk, 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 |
---|---|---|---|
1780630145 | NPI | - | NPPES |
215451000 | Medicaid | MD | |
0207966000 | Medicaid | WV | |
0001167001 | Medicaid | DE | |
0016948910001 | Medicaid | PA | |
006104797 | Medicaid | VA | |
890573T | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 0101047764 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Childrens Specialty Group Pllc | 5890788764 | 44 |
Entity Name | Childrens Specialty Group Pllc |
---|---|
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 |
---|---|
Ralph S Northam, MD Po Box 79137, Baltimore, MD 21279-0137 Ph: (757) 668-7200 | Ralph S Northam, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-9920 |
Peter M Dozier, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8866 Fax: 757-668-8870 | |
Dr. Crystal Miller Proud, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 Southampton Ave, Norfolk, VA 23510 Phone: 757-668-9920 Fax: 757-668-9930 | |
James Richard Wyant, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 8610, Norfolk, VA 23507 Phone: 757-252-9015 Fax: 757-510-9041 | |
Dr. Paul A Sayegh, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave, Suite 710, Norfolk, VA 23507 Phone: 757-446-5888 Fax: 757-446-5918 | |
Dr. Jerry H Morewitz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave, Suite 710, Norfolk, VA 23507 Phone: 757-446-5888 Fax: 757-446-5918 | |
Dr. C. Arthur Nalls Iii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6353 Center Drive, Ste 204, Norfolk, VA 23502 Phone: 757-461-3313 Fax: 757-461-8363 | |
Justin D Petri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave, Suite 710, Norfolk, VA 23507 Phone: 757-446-5888 Fax: 757-446-5918 |