DR. LISA ODABASI (NPI# 1639161458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639161458 |
| Entity Type | Individual |
| Full Name | DR. LISA ODABASI |
| Credential | MD |
| Practice Address |
11803 Jefferson Ave Suite 230 Newport News VA 23606-2565 |
| Practice Telephone | 7575347701 |
| Practice Fax Number | 7575347708 |
| Mailing Telephone | 7575347701 |
| Mailing Fax Number | 7575347708 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2011-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101044841 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6002676 | 05 |
| Street Address |
11803 JEFFERSON AVE SUITE 230 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629436118 | Kelsey Shirk | Physician Assistant | 11803 Jefferson Ave, Newport News, VA 23606-2565 | 2016-01-29 |
| 1508240797 | Nathan James Branson | Surgery | 11803 Jefferson Ave, Ste 235, Newport News, VA 23606-2565 | 2015-07-17 |
| 1710387774 | Tara L Worley | Nurse Practitioner | 11803 Jefferson Ave, Suite 110, Newport News, VA 23606-2565 | 2014-08-27 |
| 1720354335 | Emma K Hatch | Physician Assistant | 11803 Jefferson Ave, Suite 140, Newport News, VA 23606-2565 | 2012-03-28 |
| 1215202270 | Terry Ann Guyton-smith | Nurse Practitioner | 11803 Jefferson Ave, Ste 140, Newport News, VA 23606-2565 | 2012-03-09 |
| 1285925545 | Sentara Medical Group | Plastic Surgery | 11803 Jefferson Ave, Suite 100a, Newport News, VA 23606-2565 | 2011-04-21 |
| 1033438544 | Ravi Chhatrala | Internal Medicine | 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-2565 | 2010-05-24 |
| 1407087919 | Sentara Medical Group | Surgery | 11803 Jefferson Ave, Suite 235, Newport News, VA 23606-2565 | 2009-07-31 |
| 1639316318 | Gastrointestinal and Liver Specialist of Tidewater, Pllc | Specialist | 11803 Jefferson Ave, Ste 230, Newport News, VA 23606-2565 | 2009-01-16 |
| 1215182738 | Riverside Physician Services, Inc | Internal Medicine | 11803 Jefferson Ave, Ste 110, Newport News, VA 23606-4390 | 2008-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013439835 | Maryview Hospital | Internal Medicine | 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 | 2017-07-13 |
| 1952480238 | Jin X Zhang | Internal Medicine | 11803 Jefferson Avenue, Suite 230, Newport News, VA 23606 | 2006-11-06 |
| 1528093143 | Gursharn Singh Rakhra | Internal Medicine | 11803 Jefferson Ave Ste 230, Newport News, VA 23606-4390 | 2006-07-12 |
| 1669466504 | Timothy James Duncan | Internal Medicine | 12200 Warwick Blvd Ste 490, Newport News, VA 23601 | 2005-09-07 |
| 1881686004 | Jonathan David Eisner | Internal Medicine | 11751 Rock Landing Dr Ste 1, Newport News, VA 23606-4233 | 2005-08-16 |
| 1326675109 | Michael Ney | Internal Medicine | 101 Philip Roth St, Newport News, VA 23606-1393 | 2020-03-24 |
| 1366700023 | Rafayat Samnan Hossain | Internal Medicine | 101 Philip Roth St, Newport News, VA 23606 | 2012-05-01 |
| 1033438544 | Ravi Chhatrala | Internal Medicine | 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-2565 | 2010-05-24 |
| 1679750657 | Mohamed Bader El Safadi | Internal Medicine | 11751 Rock Landing Dr Ste 1, Newport News, VA 23606-4233 | 2008-01-22 |
| 1194929026 | Riverside Physician Services Inc | Internal Medicine | 101 Philip Roth St, Suite 5-a, Newport News, VA 23606-1393 | 2007-06-13 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
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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.