MARIVI A NIEBAUER (NPI# 1275521239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275521239 |
| Entity Type | Individual |
| Full Name | MARIVI A NIEBAUER |
| Credential | M.D. |
| Practice Address |
16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7664 |
| Practice Telephone | 2762583733 |
| Practice Fax Number | 2762583734 |
| Mailing Telephone | 2762583733 |
| Mailing Fax Number | 2762583734 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101249956 | VA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
39937 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | P01200682 | 01 |
| TN | 3334027 | 05 | |
| VA | 1275521239 | 05 |
| Street Address |
16000 JOHNSTON MEMORIAL DR SUITE 312 |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075403 | Steven Douglas Sikora | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2005-07-07 |
| 1306461678 | Erik Richardson | Family Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-06-12 |
| 1528682523 | Trevor Chase Elswick | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-06-04 |
| 1477176543 | Martin Earl Cook | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-24 |
| 1689295230 | Steven T Cook | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-05 |
| 1073134862 | Kaleigh Erin Hale Almeida | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-03 |
| 1174154413 | Eric Anderson | Nurse Anesthetist, Certified Registered | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-01-27 |
| 1154972701 | Samantha Palmer | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-09-25 |
| 1700445608 | Ashwin Chandra | Family Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-06-13 |
| 1679133540 | Jerod William Bachman | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1558891101 | Katie Danielle Buckner | Family Medicine | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2017-06-15 |
| 1316359003 | Beth Morley | Nurse Practitioner | 15051 Harmony Hills Ln, Abingdon, VA 24211 | 2014-05-29 |
| Find all providers in zip 24211 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669793493 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7659 | 2010-06-16 |
| 1629109764 | Emily Simoson Shields | Psychiatry & Neurology | 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1790342285 | Neural Network Pllc | Psychiatry & Neurology | 4660 Kenmore Ave Ste 408, Alexandria, VA 22304-1306 | 2019-05-21 |
| 1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
| 1750870556 | Evergreen Neurology and Sleep Center | Psychiatry & Neurology | 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 | 2018-05-07 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1023533718 | Riverside Physician Services Inc. | Psychiatry & Neurology | 659 Hospital Rd Ste 101, Tappahannock, VA 22560-7000 | 2017-08-03 |
| 1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
| 1144676701 | Andrew Keith Worthington | Psychiatry & Neurology | 4200 Sulgrave Rd, Richmond, VA 23221-3255 | 2016-05-12 |
| 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.