Lee James Gotthardt, | |
12655 Warwick Blvd Ste B, Newport News, VA 23606-2501 | |
(757) 595-3570 | |
(757) 592-9280 |
Full Name | Lee James Gotthardt |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 12655 Warwick Blvd Ste B, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902311319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024175673 (Virginia) | Primary |
Entity Name | Tidewater Physicians Multispecialty Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
Mailing Address | Practice Location Address |
---|---|
Lee James Gotthardt, 860 Omni Blvd Ste 303, Newport News, VA 23606-4477 Ph: (757) 232-8769 | Lee James Gotthardt, 12655 Warwick Blvd Ste B, Newport News, VA 23606-2501 Ph: (757) 595-3570 |
Leana Thorpe, AGAC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602 Phone: 757-875-2050 Fax: 757-875-2070 | |
Nancy Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11842 Rock Landing Dr Ste 100, Newport News, VA 23606 Phone: 757-873-0338 Fax: 757-873-9579 | |
Sarah Goldman Aledia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12200 Warwick Blvd Ste 310, Newport News, VA 23601 Phone: 757-534-9988 | |
Michael Vincent Falco, LNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 Loftis Blvd Ste 201, Newport News, VA 23606 Phone: 757-310-6413 Fax: 757-935-0242 | |
Mrs. Tiffany Mills, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12200 Warwick Blvd Ste 290, Newport News, VA 23601 Phone: 757-534-5454 | |
Andrea Krans Nelson, WHNP - BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11842 Rock Landing Dr, Ste 115, Newport News, VA 23606 Phone: 757-595-9905 Fax: 757-595-5377 | |
Tameika Lassiter, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12720 Mcmanus Blvd Ste 307, Newport News, VA 23602 Phone: 757-599-3436 |