ERIC ABDUL (NPI# 1023379328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023379328 |
| Entity Type | Individual |
| Full Name | ERIC ABDUL |
| Credential | MD |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356965 |
| Mailing Telephone | 9124356965 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2019-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101254950 | VA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101254950 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176733 | Alexander Angelidis | Preventive Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-02-12 |
| 1689965451 | Matthew Paul Klick | Preventive Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5674 | 2011-04-27 |
| 1952377178 | David Cole II | Preventive Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
| 1093942872 | Frank T. Corker Sr. | Preventive Medicine | 8200 Ga Highway 122 W, Hahira, GA 31632-2178 | 2009-06-18 |
| 1285796383 | Stephen David Leonard | Preventive Medicine | 2900 Chamblee Tucker Rd, Bldg 5-210, Atlanta, GA 30341-4100 | 2006-12-14 |
| 1437225810 | Austin H. Chhoeu | Preventive Medicine | Building 300 Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2006-11-28 |
| 1255321196 | Gregory Scott Hyland | Preventive Medicine | 655 7th St Bldg 700700a, 78 Mdg/sgpf, Robins Afb, GA 31098-2227 | 2005-10-23 |
| 1003800665 | Russell Gore | Preventive Medicine | 101 Woodruff Cir Ste 6000, Atlanta, GA 30322-0001 | 2005-09-09 |
| 1316948953 | Thomas Bond Faulkner | Preventive Medicine | 302 Tempest Dr, Peachtree City, GA 30269-4280 | 2005-08-04 |
| 1699093401 | Qianna Armstrong | Preventive Medicine | 655 7th St Bldg 700700-a, 78 Mdg/ Sgpf, Robins Afb, GA 31098-2227 | 2010-05-04 |
| 1265536635 | Jonathan Jay Beitler | Preventive Medicine | 1365 Clifton Rd Ne, Department of Radiation Oncology, Atlanta, GA 30322-1013 | 2006-09-07 |
| 1972551877 | Michael George Rappa | Preventive Medicine | 655 7th St, Robins Afb, GA 31098-2227 | 2006-05-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
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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.