| Dr Jordan Paul Crittenden, MD | |
|
73 Nealy Ave, Hampton, VA 23665-2040 | |
| (757) 764-6950 | |
| Not Available |
| Full Name | Dr Jordan Paul Crittenden |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 Years |
| Location | 73 Nealy Ave, Hampton, 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 |
|---|---|---|---|
| 1275074346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101276934 (Virginia) | Primary |
| 208600000X | Surgery | 32273 (Nebraska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
| Riverside Shore Memorial Hospital | Onancock, VA | Hospital |
| Riverside Tappahannock Hospital | Tappahannock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcv Associated Physicians | 4385542117 | 1580 |
| Riverside Physician Services Inc | 5092608448 | 713 |
| Chesapeake Regional Medical Group | 8426113663 | 119 |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Entity Name | Chesapeake Regional Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Paul Crittenden, MD 73 Nealy Ave, Hampton, VA 23665-2040 Ph: (757) 764-6950 | Dr Jordan Paul Crittenden, MD 73 Nealy Ave, Hampton, VA 23665-2040 Ph: (757) 764-6950 |
Charles Joseph Fisher Ii, MD Surgery Medicare: Medicare Enrolled Practice Location: 3000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-736-7280 Fax: 757-224-3541 | |
Jane Song Nzuna, Surgery Medicare: Accepting Medicare Assignments 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 | |
Dennis M Cruff, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-736-7280 Fax: 757-224-3541 |