Sharon Linda Petitjean, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

0101044063 Issued in VA

Practice address

4107 W Mercury Blvd
Hampton, VA 23666-3729

Phone

(757) 251-7977

Fax

(757) 251-7981

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Wright State University Boonshoft School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians

Mid Atlantic Long Term Specialty Care LLCGroup PAC ID 8921427162, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mid Atlantic Long Term Specialty Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
  • NPI 1851909998

  Family Medicine

  Medicare reassignment Care Compare group NPD
• SE Virginia Value Based Care, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225720501
  Medicare reassignment Care Compare group NPD
• Riverside Hospital Inc

  • Internal Medicine Physician
  • Newport News, VA
  • NPI 1508019837
  Medicare reassignment NPD
• Virginia Health Hospice LLC

  • Community Based Hospice Care Agency
  • Newport News, VA
  • NPI 1619417433

  Family Medicine

  Medicare reassignment NPD
• Riverside Hospital Inc

  • General Acute Care Hospital
  • Smithfield, VA
  • NPI 1366259863
  NPD
• Riverside Hospital Inc.

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1043353956
  NPD
• Riverside Retirement Services, Inc.

  • PACE Provider Organization
  • Hampton, VA
  • NPI 1477755650
  NPD (past)
• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392422400000",
    "number": "1497731301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 W MERCURY BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663729",
            "telephone_number": "757-251-7977",
            "fax_number": "757-251-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITJEAN",
        "first_name": "SHARON",
        "middle_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101044063",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101044063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Stephens Person, LICSW
• Omari Peterkin, PMHNP
• Kristyn Noelle Peters, OTR/L
• Stephanie Peters, MPH, RDN
• Brenda Lynne Peterson, CRNP
• PF Place Assisted Living Facility
• Anh K Pham, M.D.
• Tram Pham
• Hoa Quang Phan
• Arisa Phelps, RBT

• Geriatric Medicine (Family Medicine) Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Geriatric Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2014; 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.

Verify at the official NPI Registry.