ABAY TASSEW TADDESSE


Address: 4001 Coliseum Dr Ste 310, Hampton, VA 23666-6257
Phone: 7578272115

ABAY TASSEW TADDESSE (NPI# 1275747891) 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) 1275747891
Entity Type Individual
Full Name ABAY TASSEW TADDESSE
Credential MD
Practice Address 4001 Coliseum Dr Ste 310
Hampton
VA 23666-6257
Practice Telephone 7578272115
Practice Fax Number 7575109383
Mailing Telephone 7578272115
Mailing Fax Number 7575109383
Enumeration Date 2007-05-10
Last Update Date 2020-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
0101257190 VA Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
35097654 OH Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 4301095243 MI Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
VA 1275747891 05

Office Location

Street Address 4001 COLISEUM DR STE 310
City HAMPTON
State VA
Zip Code 23666-6257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467693028 Sabrina D Wood Nurse Practitioner 4001 Coliseum Dr Ste 310, Hampton, VA 23666-6257 2009-03-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548824022 Melanin Excellence Medical Transportation Co LLC Non-emergency Medical Transport (VAN) 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 2019-04-30
1952880502 Exquisite Counseling Services LLC Counselor 2703 Build America Drive, Hampton, VA 23666 2018-08-13
1063999811 Speak From The Heart Speech-Language Pathologist 2 Abbott Dr, Hampton, VA 23666 2018-07-24
1245724632 Drashti Khamar Dentist 2040 Coliseum Dr # A27, Hampton, VA 23666 2018-06-19
1750874772 Dion J Roszina Private Vehicle 806 Charlton,dr, Hampton, VA 23666 2018-06-13
1205352481 Crystal Lynn Harris Counselor 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 2017-08-18
1538693361 Marquis A. Norton Counselor 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 2017-04-18
1194181966 Key Elements Care, LLC Case Management 20 Research Dr Ste 600, Hampton, VA 23666 2016-01-11
1740665215 Lauren-grey Gonzales Igel Hearing Instrument Specialist 1507 Hardy Cash Drive, Hampton, VA 23666 2015-07-27
1457758062 Alexandra Levine Acupuncturist 2216 Executive Dr Ste A, Hampton, VA 23666 2014-11-25
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235558958 Miguel Angel Pelton Internal Medicine 901 Enterprise Pkwy Ste 900, Hampton, VA 23666-6250 2014-04-09
1649530965 Sentara Medical Group Internal Medicine 4001 Coliseum Dr, Ste 310, Hampton, VA 23666-6257 2012-05-21
1598048373 Douglas Alan Greene Internal Medicine 53 Frontage Rd, Peryville IIi Corporate Park, Third Floor, Hampton, NJ 08827-4031 2011-09-27
1689609216 Joseph K Chemplavil Internal Medicine 2115 Executive Dr, Suite 1a, Hampton, VA 23666-2499 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194360503 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 2019-11-08
1568954535 Warren Memorial Hospital, Inc. Internal Medicine 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 2018-06-05
1457891145 Ultra Health LLC Internal Medicine 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637-4010 2017-03-01
1720407851 Cesar M. Plazas-guzman Internal Medicine 713 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1614 2014-04-16
1639426497 Miriam Hinaa Ahmad Internal Medicine 103 W Broad St Ste 120, Falls Church, VA 22046-4231 2012-08-11
1023372620 Paul Sumner Strumph Internal Medicine 2350 Merriman Way Rd, Moneta, VA 24121-3186 2012-06-27
1811256381 Silpa P.k. Joshi Internal Medicine 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 2012-05-03
1518244854 Bon Secours St. Francis Medical Center Inc Internal Medicine 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 2011-11-15
1235427592 Neeharika Repaka Internal Medicine 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 2011-07-20
1851699227 Sentara Medical Group Internal Medicine 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 2011-03-08
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Competitor

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City HAMPTON
Zip Code 23666

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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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