George Angelo Ladikos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1008625 Issued in VA

Practice address

1721 Tausigg Blvd
Norfolk, VA 23511-0000

Phone

(757) 314-6258

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1568434017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CREEKS EDGE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516805",
            "telephone_number": "757-496-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 TAUSIGG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235110000",
            "telephone_number": "757-314-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADIKOS",
        "first_name": "GEORGE",
        "middle_name": "ANGELO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "1008625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Jasiel Labbe, M.D.
• Laboratory Corporation of America Holdings
• Arnel Agravante Lacerna, NP
• Sarah Renee Lacour, DPT
• Rhonda L Ladd, LPC
• Ladybug Healthcare Servies
• Lafayette Psychiatric Services
• Alex Christopher Lafever, MD
• Moses Tucker Laffitte IV, M.D.
• Scott Lafountaine, SF-IDC

• Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.