PAUL JEROME KOVALCIK MD NPI 1356311286

NPI Information

  • NPI: 1356311286
  • Provider Name: PAUL JEROME KOVALCIK, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • Address: 3105 AMERICAN LEGION ROAD
    SUITE A
    CHESAPEAKE, VA
    ZIP 23321
  • Phone: (757) 686-2687

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NPI Details

Paul Jerome Kovalcik, MD is a colon rectal surgery in Chesapeake, VA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Paul Jerome Kovalcik, MD NPI is 1356311286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3105 AMERICAN LEGION ROAD
SUITE A
CHESAPEAKE, VA
ZIP 23321-653
Phone: (757) 686-2687
Fax: (757) 484-1682

The enumeration date for this NPI number is 1/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal Surgery0101032355VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15834961MEDICAIDVIRGINIA
2A54207MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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