MAKUNDA ABDUL-MBACKE (NPI# 1013995851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013995851 |
| Entity Type | Individual |
| Full Name | MAKUNDA ABDUL-MBACKE |
| Credential | MD |
| Practice Address |
6890 Greensboro Rd Ridgeway VA 24148-3555 |
| Practice Telephone | 2769561013 |
| Mailing Telephone | 2769561013 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0101241089 | VA | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
0101241089 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8898405 | 05 |
| Street Address |
6890 GREENSBORO RD |
| City | RIDGEWAY |
| State | VA |
| Zip Code | 24148-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994150 | Vernicia Winford | Advanced Practice Midwife | 6890 Greensboro Rd, Ridgeway, VA 24148-3555 | 2020-05-19 |
| 1023555703 | Jennifer Sheridan Humphrey | Nurse Practitioner | 6890 Greensboro Rd, Ridgeway, VA 24148-3555 | 2017-01-19 |
| 1255545471 | Piedmont Preferred Women's Healthcare Associates Inc. | Obstetrics & Gynecology | 6890 Greensboro Rd, Ridgeway, VA 24148-3555 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1710532536 | Breaudrea Scales | Case Manager/Care Coordinator | 19 Wickersham Road, Ridgeway, VA 24148 | 2019-08-08 |
| 1780824664 | Horsepasture Rescue Squad, Inc | Ambulance | 18287 A.l. Philpott Hwy, Ridgeway, VA 24148 | 2009-03-04 |
| 1073713137 | Ridgeway District Rescue Squad Inc. | Ambulance | 108 Magnolia Street, Ridgeway, VA 24148-0611 | 2007-07-18 |
| 1467775007 | Vanessa Mizelle Eggleston | Occupational Therapy Assistant | 77 Spartan Cir, Ridgeway, VA 24148-2900 | 2010-03-10 |
| 1033699806 | Vivian Galloway Hairston | Case Manager/Care Coordinator | 195 Huntington Rd, Ridgeway, VA 24148-3028 | 2018-08-20 |
| 1356741771 | Jennifer Royster | Occupational Therapy Assistant | 407 Marhill Dr, Ridgeway, VA 24148-3122 | 2014-09-04 |
| 1962995340 | K&m Care Solutions LLC | Home Health | 6591 Greensboro Rd, Ridgeway, VA 24148-3278 | 2018-06-11 |
| 1851332662 | Ridgeway Family Pharmacy, Inc. | Pharmacy | 6581 Greensboro Rd, Ridgeway, VA 24148-3278 | 2006-06-10 |
| 1396070280 | Family Preservation Services, Inc | Community/Behavioral Health | 45 Drewry Mason School Rd, Ridgeway, VA 24148-3279 | 2009-10-09 |
| Find all providers in zip 24148 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255545471 | Piedmont Preferred Women's Healthcare Associates Inc. | Obstetrics & Gynecology | 6890 Greensboro Rd, Ridgeway, VA 24148-3555 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1083103592 | Premier Ob/gyn Associates LLC | Obstetrics & Gynecology | 3700 Joseph Siewick Dr Ste 102, Fairfax, VA 22033-1737 | 2018-05-09 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1215439526 | Women's Choice Obgyn LLC | Obstetrics & Gynecology | 10875 Main St Ste 210, Fairfax, VA 22030-4732 | 2018-03-02 |
| 1871019323 | Ntmt Group | Obstetrics & Gynecology | 8301 Arlington Blvd Ste 206, Fairfax, VA 22031-2902 | 2017-08-16 |
| 1376071951 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 11747 Jefferson Ave Ste 1a, Newport News, VA 23606-4401 | 2017-05-26 |
| 1902339401 | Jerrid Neeley | Obstetrics & Gynecology | 7547 Medical Dr Ste 1200, Gloucester, VA 23061-4351 | 2017-04-11 |
| 1396298873 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 6353 Center Dr Ste 100, Norfolk, VA 23502-4100 | 2016-08-01 |
| 1750731063 | Rachel Bridge | Obstetrics & Gynecology | 3023 Hamaker Ct Ste 210, Fairfax, VA 22031-2240 | 2016-06-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.