| Dr Shelton August Viola, MD | |
|
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
| (757) 953-4529 | |
| (757) 953-3293 |
| Full Name | Dr Shelton August Viola |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598811788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 63172 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 0101244501 (Virginia) | Primary |
| 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 |
|---|---|
| Dr Shelton August Viola, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-4529 | Dr Shelton August Viola, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-4529 |
Justin Hollon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-4529 Fax: 757-953-3293 | |
Dr. Mary Elizabeth Watson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Dept. Of Pediatrics, Portsmouth, VA 23708 Phone: 757-953-2960 | |
Dr. Clinton Forrest Faison Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-7424 Fax: 757-953-5104 | |
Dr. Rebecca D. Christi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5652 | |
David William Munitz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3238 | |
Dr. Arek Hidirsah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir Dept Aya, Portsmouth, VA 23708 Phone: 757-953-0167 Fax: 757-953-0058 | |
Dr. John Kenyon Watson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-2983 Fax: 757-953-0858 |