Alexandra S. Mack EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION

Address: 825 Fairfax Ave, Suite 118, Norfolk, VA 23507-1914
Phone: 7574465955

Alexandra S. Mack (NPI# 1174812192, PAC ID# 0547488157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1174812192
PAC ID by PECOS 0547488157
Professional Enrollment ID I20160822002480
Full Name Alexandra S. Mack
Organization Legal Name EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
Address 825 Fairfax Ave
Suite 118
Norfolk
VA 23507-1914
Phone Number 7574465955
Gender F
Medical School TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 5698675510
Number of Group Practice Members 207
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490007 SENTARA NORFOLK GENERAL HOSPITAL
490046 SENTARA LEIGH HOSPITAL

Other Locations

Address Phone Organization
825 Fairfax Ave, Suite 118, Norfolk, VA 23507-1914 7574465955 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
825 Fairfax Ave, Norfolk, VA 23507-1914 7574465955 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 7573976344 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
600 Crawford St, Portsmouth, VA 23704-3820 7573976344 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION

Organization Information

Organization Legal Name EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
Physicians 190

Physicians with the same location

Name Specialty Organization Address
Vivian Faye Wu OTOLARYNGOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 600 Gresham Dr, Norfolk
Justin D. Petri PSYCHIATRY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 721 Fairfax Ave, Norfolk
Daniel W Karakla OTOLARYNGOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 600 Gresham Dr, Norfolk
Kindra A Larson OBSTETRICS/GYNECOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 2075 Glenn Mitchell Dr, Virginia Beach
Mark S Sinesi RADIATION ONCOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 1060 1st Colonial Rd, Virginia Beach
Richard W Handel CLINICAL PSYCHOLOGIST EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk
Erin S Mccartney PHYSICIAN ASSISTANT EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk
Melissa G Pola AUDIOLOGIST EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 600 Gresham Dr, Norfolk
Rosa O Diring NURSE PRACTITIONER EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 400 Gresham Dr, Norfolk
Monique D. Gillman OBSTETRICS/GYNECOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk

Office Location

Street Address 825 FAIRFAX AVE
SUITE 118
City NORFOLK
State VA
Zip 23507-1914

Physicians with the same location

Name Specialty Organization Address
Gayatri Kapur OBSTETRICS/GYNECOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk
Alfred Z Abuhamad OBSTETRICS/GYNECOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk
Sabina Sandhu INTERNAL MEDICINE EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk
Thomas R Grant Jr. FAMILY PRACTICE EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave Suite 118, Norfolk
Andrea R Thurman OBSTETRICS/GYNECOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave Suite 310, Norfolk
Amanda B. Hooper INTERNAL MEDICINE EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk
Steven L Warsof OBSTETRICS/GYNECOLOGY EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk
Nicole L. Kreiser CLINICAL PSYCHOLOGIST EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave Suite 710, Norfolk
Jennifer L Ryal INTERNAL MEDICINE EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave Suite 445, Norfolk
Melissa A Hotaling NURSE PRACTITIONER EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION 825 Fairfax Ave, Norfolk

Competitor

Search similar physicians

City NORFOLK
Zip Code 23507
Specialty FAMILY PRACTICE
City + Specialty NORFOLK + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.