Provider Demographics
NPI:1033185632
Name:MOREWITZ, JERRY H (MD)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:H
Last Name:MOREWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5888
Practice Address - Fax:757-446-5918
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010279812084P0805X, 2084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA-006OtherTRICARE/CHAMPUS
VA007123604Medicaid
VA87104OtherSENTARA/OPTIMA
NC8906270Medicaid
VAPAROtherAETNA
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherCORVEL/CORCARE
VA215691OtherUHC/MAMSI
VA246973OtherMAGELLAN HEALTH SERVICES
VA031631OtherVALUE OPTIONS
NC06270OtherBC/BS
VA343813OtherMANAGED HEALTH NETWORK
VAPAROtherCIGNA BEHAVIORAL HEALTH
VA081898OtherANTHEM
VAPAROtherUSA MANAGED CARE
VAPAROtherFIRST HEALTH COMMERCIAL
VA246973OtherMAGELLAN HEALTH SERVICES
VAB07385Medicare UPIN
NC8906270Medicaid