DR. JUSTIN O BENABDALLAH (NPI# 1134419328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134419328 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN O BENABDALLAH |
| Credential | MD |
| Practice Address |
5215 Loughboro Rd Nw Washington DC 20016-2618 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4109554494 |
| Mailing Telephone | (410) 933-6423 |
| Mailing Fax Number | 4109331390 |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | D84054 | MD | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | MD045666 | DC | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 2016025625 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
5215 LOUGHBORO RD NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588610265 | Nancy J. Davenport | Internal Medicine | 5215 Loughboro Rd Nw, Suite 460, Washington, DC 20016-2618 | 2006-05-25 |
| 1194256297 | John Zachary Hughes | Internal Medicine | 5215 Loughboro Rd Nw, Washington, DC 20016-2618 | 2017-03-21 |
| 1184004046 | Nanak Chugh | Psychiatry & Neurology | 5215 Loughboro Rd Nw, Washington, DC 20016-2618 | 2015-06-05 |
| 1053718874 | Total Primary Care PC | Family Medicine | 5215 Loughboro Rd Nw, Suite 450, Washington, DC 20016-2618 | 2014-11-21 |
| 1558778654 | Total Primary Care P L L C | Internal Medicine | 5215 Loughboro Rd Nw, Suite 450, Washington, DC 20016-2618 | 2014-07-21 |
| 1649613829 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 5215 Loughboro Rd Nw, Ste 500, Washington, DC 20016-2618 | 2013-04-08 |
| 1619220126 | Megan Elizabeth Mooney | Nurse Practitioner | 5215 Loughboro Rd Nw, Suite 500, Washington, DC 20016-2618 | 2012-10-22 |
| 1932470549 | Northern Virginia Pelvic Surgery Associates | Obstetrics & Gynecology | 5215 Loughboro Rd Nw, Suite 500, Washington, DC 20016-2618 | 2012-01-13 |
| 1134401508 | Deirdre Anne Mcdermott | Nurse Practitioner | 5215 Loughboro Rd Nw, Suite 530, Washington, DC 20016-2618 | 2011-09-12 |
| 1053699256 | Foers Pharmacy At Sibley Hospital Inc | Pharmacy | 5215 Loughboro Rd Nw, Washington, DC 20016-2618 | 2011-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427435130 | Damian Edward Garcher | Urology | 125 N Franklin Dr Ste 3, Washington, PA 15301-5892 | 2015-05-01 |
| 1245658954 | Boston Medical Group, L.L.C. | Urology | 1020 19th Street N.w., Suite 225, Washington, DC 20006 | 2014-03-31 |
| 1518385327 | Kenneth R Witmer | Urology | 2150 Pennsylvania Ave Nw Ste 3-417, Washington, DC 20037 | 2014-03-31 |
| 1831432947 | A Roger Wiederhorn | Urology | 4024 Mansion Ct Nw, Washington, DC 20007-2149 | 2013-03-27 |
| 1639489016 | John Pirris | Urology | 180 Lemoyne Ave, Washington, PA 15301-3663 | 2010-10-19 |
| 1306169495 | Frederick B. Hendricks, Md PC | Urology | 2141 K St., Suite 308, Washington, DC 20037 | 2010-03-04 |
| 1437471992 | Ross E Krasnow | Urology | 110 Irving St Nw Dept Of, Washington, DC 20010-3017 | 2010-02-24 |
| 1750542429 | Lee Ann Richter | Urology | 106 Irving St Nw Ste Pob 405, National Center for Advanced Pelvic Surgery, Washington, DC 20010-2927 | 2008-06-24 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1093926032 | Dorota Joanna Hawksworth | Urology | Walter Reed Army Medical Center Urology, 6900 Georgia Ave, Bldg 2, 4th Fl, Washington, DC 20307-0001 | 2007-05-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
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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.