Active NPI
Marina Gozha
- Physician Assistant
- Norfolk, VA
National Provider Identifier
1952904872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 9579 8TH Bay St
Norfolk, VA 23518-1241 - Phone
- (336) 782-0221
- NPI assigned
- Nov 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
9579 8TH Bay St
Norfolk, VA 23518-1241
Mailing address
9579 8TH Bay St
Norfolk, VA 23518-1241
Phone (336) 782-0221
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
- Eastern Virginia Medical School, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
260 Grayson Rd
Suite 100
Virginia Beach, VA 23462-4345
Phone 7574973670230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Psychotherapy Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Social Worker
- Virginia Beach, VA
- NPI 1700830742
-
- Addiction (Substance Use Disorder) Counselor
- Virginia Beach, VA
- NPI 1164536496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1952904872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9579 8TH BAY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235181241",
"telephone_number": "336-782-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9579 8TH BAY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235181241",
"telephone_number": "336-782-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOZHA",
"first_name": "MARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.