| Endocrinology And Diabetes Center | |
|
3205 Churchland Blvd Chesapeake VA 23321-5205 | |
| (757) 484-7822 | |
| (757) 484-7362 |
| Full Name | Endocrinology And Diabetes Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3205 Churchland Blvd, Chesapeake, Virginia |
| Authorized Official Name and Position | James Calvin Larocque (OWNER) |
| Authorized Official Contact | 7574847822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology And Diabetes Center 3205 Churchland Blvd Chesapeake VA 23321-5205 Ph: (757) 484-7822 | Endocrinology And Diabetes Center 3205 Churchland Blvd Chesapeake VA 23321-5205 Ph: (757) 484-7822 |
| NPI Number | 1639599723 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 06/20/2014 |
| Medicare PECOS PAC ID | 0840414850 |
|---|---|
| Medicare Enrollment ID | O20140613000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639599723 | NPI | - | NPPES |
| 1639599723 | Other | VA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 0101034393 (Virginia) | Primary |
| Provider Name | James La Rocque |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659462398 PECOS PAC ID: 7810067220 Enrollment ID: I20080711000397 |
| Provider Name | Eileen Mary Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063681864 PECOS PAC ID: 3072637248 Enrollment ID: I20100825000888 |
| Provider Name | Rokshana Thanadar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538321286 PECOS PAC ID: 7618141557 Enrollment ID: I20111110000856 |
| Provider Name | Ted A Tobey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114917176 PECOS PAC ID: 4082766696 Enrollment ID: I20230206000589 |
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