LEONARD ABADAM (NPI# 1336634831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336634831 |
| Entity Type | Individual |
| Full Name | LEONARD ABADAM |
| Practice Address |
17457 Caffee Rd Ste 204 Dahlgren VA 22448-5120 |
| Mailing Address |
119 Forrest Ave Norfolk VA 23505-1116 |
| Practice Telephone | 5406530282 |
| Mailing Telephone | 7572887832 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17457 CAFFEE RD STE 204 |
| City | DAHLGREN |
| State | VA |
| Zip Code | 22448-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811283211 | Richard Alan Pierson | Family Medicine | 17457 Caffee Rd Ste 204, Dahlgren, VA 22448-5120 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093000168 | Wal-mart Stores East Lp | Technician/Technologist | 16375 Merchant Lane, King George, VA 22448 | 2011-06-16 |
| 1720048408 | Christine Louise Manning | Military Health Care Provider | 192 Caffee Rd., Bhc Dahlgren, Dahlgren, VA 22448 | 2006-03-25 |
| 1093789364 | Lisa A Duggan | Physician Assistant | 16463 Dahlgren Rd, Dahlgren, VA 22448 | 2006-02-14 |
| 1043252802 | King George Medical Center Ltd | Pediatrics | 16463 Dahlgren Rd, Dahlgren, VA 22448 | 2006-06-12 |
| 1316305055 | Naomi Boley | Driver | 763 Caffee Rd, Dahlgren, VA 22448-3030 | 2016-02-09 |
| 1447457197 | Branch Medical Clinic Dahlgren | Clinic/Center | 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 | 2007-06-27 |
| 1174172183 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 | 2019-09-11 |
| 1497135073 | Rebecca Elizabeth Choi | Family Medicine | 17457 Caffee Rd, Dahlgren, VA 22448-5120 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679197958 | Sarah Michelle Milligan | Registered Nurse | 18033 County Road 500 E, Dahlgren, IL 62828-4294 | 2020-06-03 |
| 1548772270 | Jennifer Lea Tolley | Speech-Language Pathologist | 409 West Dale Street, Dahlgren, IL 62810 | 2017-11-03 |
| 1316305055 | Naomi Boley | Driver | 763 Caffee Rd, Dahlgren, VA 22448-3030 | 2016-02-09 |
| 1447457197 | Branch Medical Clinic Dahlgren | Clinic/Center | 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 | 2007-06-27 |
| 1003915133 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic Bldg 192, Dahlgren, VA 22428 | 2006-09-22 |
| 1720048408 | Christine Louise Manning | Military Health Care Provider | 192 Caffee Rd., Bhc Dahlgren, Dahlgren, VA 22448 | 2006-03-25 |
| 1093789364 | Lisa A Duggan | Physician Assistant | 16463 Dahlgren Rd, Dahlgren, VA 22448 | 2006-02-14 |
| 1083046619 | Jennifer Maureen Irvin | Speech-Language Pathologist | Rr 1 Box 46, Dahlgren, IL 62828-9715 | 2013-08-06 |
| 1043252802 | King George Medical Center Ltd | Pediatrics | 16463 Dahlgren Rd, Dahlgren, VA 22448 | 2006-06-12 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
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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.