DR. BONITA J MAKDAD


Address: 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659
Phone: 8042828082

DR. BONITA J MAKDAD (NPI# 1144280652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144280652
Entity Type Individual
Full Name DR. BONITA J MAKDAD
Credential MD
Practice Address 412 Libbie Ave
Suite 4
Richmond
VA 23226-2659
Practice Telephone 8042828082
Practice Fax Number 8042829082
Mailing Telephone 8042828082
Mailing Fax Number 8042829082
Enumeration Date 2006-03-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
0101042245 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 06707432 05

Office Location

Street Address 412 LIBBIE AVE
SUITE 4
City RICHMOND
State VA
Zip Code 23226-2659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922275973 Monica Martin Wright Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2008-05-09
1154597441 Bonnylin Lindquist Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2008-05-06
1578743977 Elizabeth Jackson Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-11-14
1063692473 Natalie Erger Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-11-14
1174704506 Michelle Jeter Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-11-14
1134309669 Beverly Mallon Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-11-13
1457531907 Carol Flinn Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-11-13
1134309750 Debra Owens Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-11-12
1780864389 Joan Oberle Nurse Practitioner 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-11-12
1326265257 Lynn Harrington Johnson Pediatrics 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 2007-04-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033625744 Eye Surgeons of Richmond, Inc. Eyewear Supplier (Equipment, not the service) 5875 Bremo Rd Ste 606, Richmond, VA 23226 2017-12-18
1922517028 Karen Margaret Karwowski Physical Therapist 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 2017-09-21
1831636463 Tammy A Lewis Nurse Practitioner 5803 Bremo Road, Richmond, VA 23226 2017-01-20
1497116438 Ashton Williams Counselor 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 2016-03-18
1396110078 Nino Carlo Deleon Dentist 5500 Monument Ave Ste G, Richmond, VA 23226 2015-12-07
1083097794 Amy Michelle Kruger Podiatrist 2008 Bremo Rd Ste 100, Richmond, VA 23226 2015-06-30
1841682762 James Bryce Lothian Pediatrics 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 2015-03-02
1811334980 Carmen Wong Physical Medicine & Rehabilitation 1901 Libbie Ave, Richmond, VA 23226 2013-05-30
1841533890 Lauren Etz Freeman Nurse Practitioner 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 2013-03-28
1609126044 Tammy Denise Mills Nurse Practitioner 1501 Maple Ave Ste 301, Richmond, VA 23226 2012-09-13
Find all providers in zip 23226

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942644588 Shajeer Noorudeen Pediatrics 1000 E Broad St # 5-104, Richmond, VA 23219-1930 2013-04-25
1437415833 Oleksandr Mikhailovich Kudin Pediatrics 1506 Willow Lawn Dr Ste 205, Richmond, VA 23230-3418 2012-04-10
1922181007 Commonwealth Neonatology, Inc. Pediatrics 412 Libbie Ave Ste 4, Richmond, VA 23226-2658 2006-10-23
1972567949 Ann T Heerens Pediatrics 5855 Bremo Rd Ste 100, Richmond, VA 23226-1926 2006-04-14
1306826607 Robert J Balcom Pediatrics 2810 N Parham Rd, Suite 250, Richmond, VA 23294-4434 2006-01-20
1265818637 Sheridan Rop Services of Virginia, Inc. Pediatrics 1602 Skipwith Rd, Richmond, VA 23229-5205 2015-08-07
1265824445 Nayef Chahin Pediatrics 1213 E Clay St, Richmond, VA 23298-5071 2015-02-25
1699095091 Mark T. Astoria Pediatrics 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 2010-06-08
1902125305 Tazuddin Azmi Mohammed Pediatrics 1250 E Marshall St, Pediatrics/neonatology, Richmond, VA 23298-5051 2010-05-25
1659517159 Archana Jayaram Pediatrics 1250 E Marshall St, North Hospital, 6th Floor, Room 6-020, Richmond, VA 23298-5051 2009-01-05
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23226

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Dataset Information

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.

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