Active NPI
Diana B Tollaksen, P.A.
- Physician Assistant
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 112 Gainsborough SQ
Suite 100
Chesapeake, VA 23320-1706 - Phone
- (757) 312-8221
- Fax
- (757) 312-8382
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | VA | Primary |
Addresses
Primary practice location
112 Gainsborough SQ
Suite 100
Chesapeake, VA 23320-1706
Mailing address
112 Gainsborough SQ
Suite 100
Chesapeake, VA 23320-1706
Phone (757) 312-8221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Boulders Pkwy
North Chesterfield, VA 23225-4067
1717 Will O Wisp Dr
Suite 100
Virginia Beach, VA 23454-3102
Phone (757) 422-8476
667 Kingsborough SQ
Suite 300
Chesapeake, VA 23320-4999
Phone (757) 422-5476
Hospital & facility affiliations
- Sentara Princess Anne Hospital
- Sentara Virginia Beach General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010002380 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia, Inc. | Past | Accepting new patients |
Locations
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
1717 Will O Wisp Dr
Ste 100
Virginia Beach, VA 23454
Phone (757) 422-8476
Interoperability endpoints
- dtollaksen36512@direct.orthovirginia.com
- dtollaksen@wardellortho.gwaydirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1134873722
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356422927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 GAINSBOROUGH SQ",
"address_2": "SUITE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201706",
"telephone_number": "757-312-8221",
"fax_number": "757-312-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 GAINSBOROUGH SQ",
"address_2": "SUITE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201706",
"telephone_number": "757-312-8221",
"fax_number": "757-312-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLAKSEN",
"first_name": "DIANA",
"middle_name": "B",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.