MR. ABDO J. FADDOUL (NPI# 1194717066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194717066 |
| Entity Type | Individual |
| Full Name | MR. ABDO J. FADDOUL |
| Credential | M.D. |
| Practice Address |
2 Medical Plaza Suite 285 Roseville CA 95661 |
| Practice Telephone | 9167863100 |
| Practice Fax Number | 9167869433 |
| Mailing Telephone | 9167863100 |
| Mailing Fax Number | 9167869433 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A41062 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A416020 | 05 |
| Street Address |
2 MEDICAL PLAZA SUITE 285 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859168 | John Macri | Otolaryngology | 2 Medical Plaza, Ste 235, Roseville, CA 95661 | 2005-05-24 |
| 1134434764 | Abdo J. Faddoul, M.d. A Prof Corp | Urology | 2 Medical Plaza, Suite 285, Roseville, CA 95661 | 2010-08-06 |
| 1356667539 | Jermaine J Stubblefield | Family Medicine | 2 Medical Plaza, Suite 130, Roseville, CA 95661-3038 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1295909455 | Ina Kim | Urology | 3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089 | 2008-04-18 |
| 1457462319 | David R Couillard | Urology | 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | 2006-08-31 |
| 1558319921 | Grosse Pointe Urologic Surgeons | Urology | 18325 10 Mile, Ste 200, Roseville, MI 48066 | 2006-05-05 |
| 1932187705 | Andrew Huang | Urology | 1600 Eureka Rd Bldg C, Roseville, CA 95661-3027 | 2006-01-03 |
| 1306821822 | John E Gould | Urology | 1130 Conroy Ln, Suite 100, Roseville, CA 95661-4156 | 2005-12-07 |
| 1174043129 | Javidan Urology, Inc | Urology | 729 Sunrise Ave Ste 200, Roseville, CA 95661-4504 | 2017-06-21 |
| 1750640322 | Eric Levy | Urology | 3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089 | 2012-05-16 |
| 1134434764 | Abdo J. Faddoul, M.d. A Prof Corp | Urology | 2 Medical Plaza, Suite 285, Roseville, CA 95661 | 2010-08-06 |
| 1871822072 | Roseville Urology, Inc. | Urology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 | 2009-12-17 |
| 1043448533 | Hossein Mirheydar | Urology | 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661-3087 | 2009-06-23 |
| Find all providers in ROSEVILLE | ||||
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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.