Provider Demographics
NPI:1962463240
Name:TSCHAN, DONALD N JR (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:N
Last Name:TSCHAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:7560 HOSPITAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4178
Practice Address - Country:US
Practice Address - Phone:804-693-4300
Practice Address - Fax:804-693-2964
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2011-05-17
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Provider Licenses
StateLicense IDTaxonomies
VA0101027556207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1962463240Medicaid
VA016172R53Medicare PIN
VA080097337Medicare PIN
VA1962463240Medicaid