Basic Information
| Provider Information | |||||||||
| NPI: | 1033185632 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOREWITZ | ||||||||
| FirstName: | JERRY | ||||||||
| MiddleName: | H | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 936 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235010936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574465888 | ||||||||
| FaxNumber: | 7574465918 | ||||||||
| Practice Location | |||||||||
| Address1: | 825 FAIRFAX AVE | ||||||||
| Address2: | SUITE 710 | ||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235071914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574465888 | ||||||||
| FaxNumber: | 7574465918 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 02/03/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0805X | 0101027981 | VA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Geriatric Psychiatry | 2084P0804X | 0101027981 | VA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 2084P0800X | 0101027981 | VA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | -006 | 01 | VA | TRICARE/CHAMPUS | OTHER | 007123604 | 05 | VA | MEDICAID | 87104 | 01 | VA | SENTARA/OPTIMA | OTHER | 8906270 | 05 | NC | MEDICAID | PAR | 01 | VA | AETNA | OTHER | PAR | 01 | VA | VIRGINIA PREMIER HEALTH | OTHER | PAR | 01 | VA | VIRGINIA HEALTH NETWORK | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | 215691 | 01 | VA | UHC/MAMSI | OTHER | 246973 | 01 | VA | MAGELLAN HEALTH SERVICES | OTHER | 031631 | 01 | VA | VALUE OPTIONS | OTHER | 06270 | 01 | NC | BC/BS | OTHER | 343813 | 01 | VA | MANAGED HEALTH NETWORK | OTHER | PAR | 01 | VA | CIGNA BEHAVIORAL HEALTH | OTHER | 081898 | 01 | VA | ANTHEM | OTHER | PAR | 01 | VA | USA MANAGED CARE | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL | OTHER |