MEDICARE: ONSITE MEDICAL SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician

General Provider Information

NPI Number	:	1629329016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONSITE MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	1408 PANDORIA CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-3737
Country	:	US
Telephone Number	:	404-406-4478
Fax Number	:	757-819-7103

Provider Business Practice Location Address
First Line	:	1408 PANDORIA CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-3737
Country	:	US
Telephone Number	:	404-406-4478
Fax Number	:	757-819-7103

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MRS. MARILON GREEN-HICKSON
Credential	:
Telephone Number	:	757-802-0209

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	04/05/2019

Similar Medicare Providers

1871597732 — DR. CORKLIN RAY STEINHART M.D., PH.D
Practice Location Address:

1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL
32547-3737

Practice Phone: 215-756-1220
Practice Fax: 239-591-6726

1023151289 — MS. BEVERLY JEAN SCOTT MFT
Practice Location Address:

326 S PACIFIC COAST HWY , SUITE 201
REDONDO BEACH, CA
90277-3737

Practice Phone: 310-544-0166
Practice Fax: 310-544-4152

1841447406 — CHARLES HARRELSON MOSS III CRNP
Practice Location Address:

1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL
32547-3737

Practice Phone: 850-610-8820
Practice Fax: 844-297-8690

1730438714 — ELLEN ROESE LCSW
Practice Location Address:

326 S PCH HWY , SUITE 206
REDONDO BEACH, CA
90277-3737

Practice Phone: 310-567-5975
Practice Fax:

1477120814 — MR. JULIAN CLIFFORD MADISON III CCC
Practice Location Address:

3737 ATLANTIC AVE
LONG BEACH, CA
90807-3433

Practice Phone: 562-426-6123
Practice Fax:

1437726759 — CAN COMMUNITY HEALTH, INC.
Practice Location Address:

1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL
32547-3737

Practice Phone: 850-610-8820
Practice Fax: 844-297-8690

Directions to “ONSITE MEDICAL SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.