| Hampton Roads Proton Beam Therapy | |
|
40 Enterprise Parkway Hampton VA 23666-5800 | |
| (757) 251-6800 | |
| (757) 251-6920 |
| Full Name | Hampton Roads Proton Beam Therapy |
|---|---|
| Speciality | Radiology |
| Location | 40 Enterprise Parkway, Hampton, Virginia |
| Authorized Official Name and Position | Doretha J. Spells (VICE PRESIDENT OF BUSINESS AFFAIRS) |
| Authorized Official Contact | 7577275213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Proton Beam Therapy 40 Enterprise Parkway Hampton VA 23666-5800 Ph: (757) 251-6800 | Hampton Roads Proton Beam Therapy 40 Enterprise Parkway Hampton VA 23666-5800 Ph: (757) 251-6800 |
| NPI Number | 1770722175 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 05/14/2014 |
| Medicare PECOS PAC ID | 8224225610 |
|---|---|
| Medicare Enrollment ID | O20110329000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770722175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 2085R0205X | Radiology - Radiological Physics | (* (Not Available)) | Primary |
| Provider Name | Tyvin A Rich |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487785564 PECOS PAC ID: 9537179387 Enrollment ID: I20060425000330 |
| Provider Name | Christopher Sinesi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235191677 PECOS PAC ID: 8426034851 Enrollment ID: I20110330001015 |
| Provider Name | Allan Thornton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649256579 PECOS PAC ID: 2365481611 Enrollment ID: I20110330001017 |
Mbs Child Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Second St, Hampton, VA 23664 Phone: 767-902-6108 | |
Divine Health Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 Executive Dr, Ste B, Hampton, VA 23666 Phone: 757-826-1600 Fax: 757-826-0160 | |
R.e.a.c.h Families Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4410 Claiborne Sq E Ste 334, Hampton, VA 23666 Phone: 757-279-8211 | |
Gastroenterology Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Marcella Rd, Suite A, Hampton, VA 23666 Phone: 757-826-6539 | |
Southampton Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Executive Dr, Hampton, VA 23666 Phone: 757-723-0252 Fax: 866-837-2972 | |
Riverside Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Enterprise Pkwy, Ste 2200, Hampton, VA 23666 Phone: 757-251-2170 Fax: 757-251-2185 | |
Aspire Mdvip Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Manhattan Sq Ste D, Hampton, VA 23666 Phone: 757-896-1909 |