Dr Paul J Kovalcik M.D. LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101032355 Issued in VA

Legal business name

DR PAUL J KOVALCIK M.D. LTD

Practice address

3105 American Legion Rd
Suite a
Chesapeake, VA 23321-5654

Phone

(757) 686-2687

Fax

(757) 484-1682

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Jerome KovalcikNPI 1356311286

Title

Dr

Phone

(757) 686-2687

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Jerome Kovalcik, MD

  • Colon & Rectal Surgery Physician
  • Chesapeake, VA
  • NPI 1356311286
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255452413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 AMERICAN LEGION ROAD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215653",
            "telephone_number": "757-686-2687",
            "fax_number": "757-484-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 AMERICAN LEGION RD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215654",
            "telephone_number": "757-686-2687",
            "fax_number": "757-484-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAUL J KOVALCIK M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOVALCIK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "757-686-2687",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101032355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Daniel M Etheridge DDS LTD (Greenbrier Dental Center)
• Dr Darrell L Boyce DDS PC
• Dr George E Berryman DDS
• Dr King-Jones and Associates
• Dr Leon a Cerniway, DMD, PC
• Dr. Albert D. Bohon, Jr., Optometrist
• Dr. David B. Graham DDS
• Dr. Earl M. Pollock, OD
• Dr. Eric G. Bryant, D.C., P.C. (Vohringer & Bryant Chiropractic)
• Dr. F. Charles Stange Jr. D.D.S P.C.

• Specialist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.