Bridget Marie Mazzoni · Bridget M Moenius · Physician Assistant

4000 Coliseum Dr Ste 200a, Hampton, VA 23666-5975

Overview

Bridget Marie Mazzoni is a Physician Assistant practicing in Hampton, Virginia. The National Provider Identifier (NPI) is #1215375837, which was assigned on June 5, 2013, and the registration record was last updated on February 18, 2025. The practitioner's main practice location is at 4000 Coliseum Dr Ste 200a, Hampton, VA 23666-5975; the contact telephone number is 7577361520, and the fax number is 7577565116. The primary taxonomy of Bridget Marie Mazzoni is Physician Assistant (363A00000X). Bridget Marie Mazzoni is licensed to practice in the state of Virginia (#0110000000).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1215375837
Entity Type Individual
Provider Name BRIDGET MARIE MAZZONI
Other Name BRIDGET M MOENIUS
(Former Name)
Gender Female
Credential PA-C
Other Credential PA-C
Practice Address 4000 Coliseum Dr Ste 200a
Hampton
VA 23666-5975
Practice Telephone 7577361520
Practice Fax Number 7577565116
Mailing Address 4000 Coliseum Dr Ste 200a
Hampton
VA 23666-5975
Mailing Telephone 7577361520
Mailing Fax Number 7577565116
Certification Date 2025-02-18
Enumeration Date 2013-06-05
Last Update Date 2025-02-18
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 0840424487
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name BRIDGET MOENIUS MAZZONI
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name SENTARA MEDICAL GROUP
Address 1101 1st Colonial Rd
Suite 300
Virginia Beach
VA 23454-2409

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant0110000000VA

Secondary Practice Locations

AddressTelephoneFax
301 Riverview Avenue, Suite 400, Norfolk, VA 23510106575762253257576256743

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Bridget Carey 84 Granite Ave Apt 3, Dorchester, MA 02124-5216Physician Assistant2025-11-07
Abbygayle Nicole Parshall 4001 W Mcnichols Rd, Detroit, MI 48221-3038Physician Assistant2025-11-07
Mikalee Joy Kerr 3970 Perkiomen Ave, Reading, PA 19606-2757Physician Assistant2025-11-07
Claburn Jacob Upchurch 1700 Tree Ln, Snellville, GA 30078-6782Physician Assistant2025-11-07
Ifeanyi Victor Osunwoke 33000 Palmer Rd, Westland, MI 48186-5517Physician Assistant2025-11-07
Hailey Schoenhardt 4893 Transit Rd, Depew, NY 14043-4698Physician Assistant2025-11-07
Kacie Krasniewicz 2600 Century Pkwy Ne, Atlanta, GA 30345-3125Physician Assistant2025-11-07
Rosalie Salisbury 5016 Fairwood Blvd Ne Apt 14, Tacoma, WA 98422-2171Physician Assistant2025-11-07
Joshua Williams 100 E Navarre St Suite 6600, South Bend, IN 46601Physician Assistant2025-11-07
Christopher Andrew Mcdonald 1183 Briarvista Way Ne, Atlanta, GA 30329-3629Physician Assistant2025-11-07
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Location Information

Street Address 4000 COLISEUM DR STE 200A
City HAMPTON
State VA
Zip Code 23666-5975
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
E S Whitaker & Associates 2101 Executive Drive, Tower Box 7, Hampton, VA 23666Mental Health Clinic/Center (Including Community Mental Health Center)2006-10-02
Kimberly Marie Speed 205 Lake Tower Dr., Hampton, VA 23666Professional Counselor2007-05-11
Sandy Le ' 4 Elite Ct, Hampton, VA 23666-0577Registered Nurse2025-08-01
Latascha Hiban 4410 Claiborne Sq East, Suite 334 Office 328, Hampton, VA 23666Professional Counselor2025-08-04
Karlena Davis 110 Coliseum Crossing, #5085, Hampton, VA 23666Social Worker2025-06-27
Zacarrah Venning 1062 W Mercury Blvd Ste 1062b, Hampton, VA 23666-1068Speech-Language Pathologist2025-04-21
Gwendolyn Rowena Williams 4000 Coliseum Dr Ste 445, Hampton, VA 23666Hospitalist Physician2011-04-18
Reginald Herbert Soule 3000 Coliseum Dr, Hampton, VA 23666Certified Registered Nurse Anesthetist2006-04-04
Dominion Physical Therapy & Associates Inc. 304 Marcella Road, Suite E, Hampton, VA 23666Pediatric Occupational Therapist2006-03-23
Jason Todd Combs 4000 Coliseum Dr, Ste 350, Hampton, VA 23666Internal Medicine Physician2006-02-24
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Bridget A O'Donnell · Bridget Anne Buckon 12620 Larchmere Blvd, Cleveland, OH 44120-1110Counselor2025-09-03
Bridget Marie Bennett 1903 Dunbar Heights Dr, Greencastle, IN 46135-9413Massage Therapist2025-06-13
Bridget Mcdermott Kane · Bridget Marie Mcdermott 231 Little Lake Dr, Ann Arbor, MI 48103-6247Physical Therapist2012-01-30
Marie Bridget Moran 211 Moser Ave Unit 2, Bullhead City, AZ 86429-5248Psychiatric/Mental Health Nurse Practitioner2017-12-11
Bridget Marie Wilson 12911 W 40th Ave, Wheat Ridge, CO 80401Neonatal Nurse Practitioner2006-07-06
Bridget M Hron · Bridget M Canavan 300 Longwood Ave, Boston, MA 02115-57242008-06-13
Bridget Marie Watters · Bridget Marie Ruff 200 Hawkins Dr, Iowa City, IA 52242-1009Certified Registered Nurse Anesthetist2006-06-07
Bridget Marie Stuchly 4376 S 700 E Ste 200, Salt Lake City, UT 84107-3077Clinical Social Worker2025-03-10
Bridget Emma Brough · Bridget Friel 315 Oxford Rd, Havertown, PA 19083-5514Speech-Language Pathologist2021-02-05

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.