| Charles Joseph Fisher Ii, MD | |
|
3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | |
| (757) 736-7280 | |
| (757) 224-3541 |
| Full Name | Charles Joseph Fisher Ii |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3000 Coliseum Dr Ste 200, 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 |
|---|---|---|---|
| 1023501129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101279166 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Dominion Health Medical Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Joseph Fisher Ii, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: () - | Charles Joseph Fisher Ii, MD 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 Ph: (757) 736-7280 |
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 | |
Dr. Sara Mae Edeiken, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-224-2198 | |
Dr. Jordan Paul Crittenden, MD Surgery Medicare: Medicare Enrolled Practice Location: 73 Nealy Ave, Hampton, VA 23665 Phone: 757-764-6950 | |
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 |