Alexandra S. Mack Family Practice
825 Fairfax Ave, Suite 118, Norfolk, VA 23507-1914


Alexandra S. Mack is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1174812192. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0547488157. The primary specialty is FAMILY PRACTICE. The organization is EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION. The address is 825 Fairfax Ave, Suite 118, Norfolk, VA 23507-1914. The zip code is 23507.


Alexandra S. Mack · 825 Fairfax Ave, Suite 118, Norfolk, VA 23507-1914

Nation Provider ID 1174812192
PAC ID by PECOS 0547488157
Professional Enrollment ID I20160822002480
Last Name MACK
First Name ALEXANDRA
Middle Name S.
Gender F
Medical School Name TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty FAMILY PRACTICE
Primary Specialty EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
Phone Number 7574465955
Group Practice PAC ID 5698675510
Number of Group Practice Members 194
Address 825 FAIRFAX AVE
SUITE 118
NORFOLK, VA 235071914
Claims Based Hospital Affiliation Claim Control Number (CCN): 490007
Legal Business Name: SENTARA NORFOLK GENERAL HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Evms Academic Physicians and Surgeons Health Services Foundation · Medicare Physician

Name Address Specialty
Tarita Pakrashi 825 Fairfax Ave, Norfolk, VA 23507-1914 OBSTETRICS/GYNECOLOGY
Allison Wastak 855 Brambleton Ave, Norfolk, VA 23510 NURSE PRACTITIONER
Richard Willard 825 Fairfax Ave, Norfolk, VA 23507-1914 OBSTETRICS/GYNECOLOGY
Roger Perry 600 Gresham Dr, Norfolk, VA 23507-1999 SURGICAL ONCOLOGY
James Radike 825 Fairfax Ave, Norfolk, VA 23507-1914 INFECTIOUS DISEASE
Mary Rubino 601 Colley Ave, Norfolk, VA 23507-1627 FAMILY PRACTICE
Pouran Nowroozi 600 Gresham Dr, Norfolk, VA 23507-1999 OBSTETRICS/GYNECOLOGY
Margarita De Veciana 601 Colley Ave, Norfolk, VA 23507-1697 OBSTETRICS/GYNECOLOGY
Rose Jacques 825 Fairfax Ave, Norfolk, VA 23507-1914 NURSE PRACTITIONER
Malgorzata Mlynarczyk 601 Colley Ave, Norfolk, VA 23507-1697 OBSTETRICS/GYNECOLOGY
Kindra Larson 2075 Glenn Mitchell Dr, Virginia Beach, VA 23456-0179 OBSTETRICS/GYNECOLOGY
Jerry Nadler 1005 Hampton Blvd, Norfolk, VA 23507-1505 ENDOCRINOLOGY
Kathrin Hartmann 501 Medical Tower, Norfolk, VA 23507 CLINICAL PSYCHOLOGIST
Lauren Mazzurco 600 Gresham Dr, Norfolk, VA 23507-1904 GERIATRIC MEDICINE
Jagdeesh Ullal 600 Gresham Dr, Norfolk, VA 23507-1904 ENDOCRINOLOGY
Lauren Scott 600 Gresham Dr, Norfolk, VA 23507-1904 OBSTETRICS/GYNECOLOGY
Hamid Okhravi 825 Fairfax Ave, Norfolk, VA 23507-1914 GERIATRIC MEDICINE
Elizabeth Jenkins 855 Brambleton Ave, Norfolk, VA 23510 ENDOCRINOLOGY
Richard Handel 825 Fairfax Ave, Norfolk, VA 23507-1914 CLINICAL PSYCHOLOGIST
Matthew Bak 600 Gresham Dr, Norfolk, VA 23507-1904 OTOLARYNGOLOGY

Zip 23507 · Family Practice · Medicare Physician

Name Address Specialty
Stephen Brawley 600 Gresham Dr, Norfolk, VA 23507-1904 FAMILY PRACTICE
Daniel Bluestein 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Stanley Brittman 600 Gresham Dr, Norfolk, VA 23507-1904 FAMILY PRACTICE
Steven Lewis 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Christine Matson 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Robert Bradshaw 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Sahira Humadi 600 Gresham Dr, Norfolk, VA 23507-1904 FAMILY PRACTICE
Thomas Grant 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Mary Rubino 601 Colley Ave, Norfolk, VA 23507-1627 FAMILY PRACTICE
Benjamin Eng 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Keith Claussen 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Margaret Baumgarten 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Richard Whalen 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE

Zip 23507 · Medicare Physician

Name Address Specialty
Justin John 601 Childrens Ln, Norfolk, VA 23507-1910 ANESTHESIOLOGY
Willie Morton 600 Gresham Dr, Norfolk, VA 23507-1904 ANESTHESIOLOGY
Amanda Liggett 825 Fairfax Ave, Norfolk, VA 23507-1914 INTERNAL MEDICINE
Kyle Tow 600 Gresham Dr, Norfolk, VA 23507-1904 NURSE PRACTITIONER
Gayatri Kapur 825 Fairfax Ave, Norfolk, VA 23507-1914 OBSTETRICS/GYNECOLOGY
Andrew Fischer 600 Gresham Dr, Norfolk, VA 23507-1904 ANESTHESIOLOGY
Cynthia Keene 601 Childrens Ln, Norfolk, VA 23507-1910 ANESTHESIOLOGY
Rebecca Hall 601 Childrens Ln, Norfolk, VA 23507-1910 PHYSICIAN ASSISTANT
Jennifer Knips 825 Fairfax Ave, Norfolk, VA 23507-1914 INTERNAL MEDICINE
Kasey Cavone 600 Gresham Dr, Norfolk, VA 23507-1904 CERTIFIED REGISTERED NURSE ANESTHETIST
Hua Wang 600 Gresham Dr, Norfolk, VA 23507-1904 NEUROLOGY
Benjamin Eng 825 Fairfax Ave, Norfolk, VA 23507-1914 FAMILY PRACTICE
Christina Manos 400 Gresham Dr, Norfolk, VA 23507-1901 ANESTHESIOLOGY
Anitha Murthy 400 Gresham Dr, Norfolk, VA 23507-1901 NEPHROLOGY
James Radike 825 Fairfax Ave, Norfolk, VA 23507-1914 INFECTIOUS DISEASE
Teresa Johnes 600 Gresham Dr, Norfolk, VA 23507-1904 CERTIFIED REGISTERED NURSE ANESTHETIST
Maria Chaudhry 600 Gresham Dr, Norfolk, VA 23507-1904 INTERNAL MEDICINE
Annette Slade 601 Childrens Ln, Norfolk, VA 23507-1910 NURSE PRACTITIONER
James Smith 600 Gresham Dr, Norfolk, VA 23507-1904 PATHOLOGY
Stephanie Spingarn 600 Gresham Dr, Norfolk, VA 23507-1904 PATHOLOGY