| Family Medicine Healthcare Pllc | |
|
3925 Portsmouth Blvd Chesapeake VA 23321-3624 | |
| (757) 488-3333 | |
| (757) 488-0007 |
| Full Name | Family Medicine Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3925 Portsmouth Blvd, Chesapeake, Virginia |
| Authorized Official Name and Position | Samir Tawfik Abdelshaheed (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 7574883333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Healthcare Pllc 3925 Portsmouth Blvd Chesapeake VA 23321-3624 Ph: (757) 488-3333 | Family Medicine Healthcare Pllc 3925 Portsmouth Blvd Chesapeake VA 23321-3624 Ph: (757) 488-3333 |
| NPI Number | 1730133398 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 05/08/2021 |
| Medicare PECOS PAC ID | 7315956828 |
|---|---|
| Medicare Enrollment ID | O20060411000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730133398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101028352 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 0101235873 (Virginia) | Primary |
| Provider Name | Samir T Abdelshaheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598720245 PECOS PAC ID: 1951310465 Enrollment ID: I20060411000752 |
| Provider Name | Kristen Reineke-piper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275777062 PECOS PAC ID: 6002085321 Enrollment ID: I20171011001568 |
| Provider Name | James Donecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720341589 PECOS PAC ID: 7719301019 Enrollment ID: I20200720000190 |
| Provider Name | William Patrick Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033775226 PECOS PAC ID: 7911382304 Enrollment ID: I20220921002575 |
| Provider Name | Joellen Margaret Quanty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437730140 PECOS PAC ID: 4486001724 Enrollment ID: I20231108002898 |
| Provider Name | Karen Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881469203 PECOS PAC ID: 3971942970 Enrollment ID: I20240423001834 |
| Provider Name | Shanickqua Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588401103 PECOS PAC ID: 4981125408 Enrollment ID: I20250312002497 |
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