OBICI MEDICAL MANAGEMENT SERVICES, INC. (NPI# 1720017379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720017379 |
| Entity Type | Organization |
| Organization Name | OBICI MEDICAL MANAGEMENT SERVICES, INC. |
| Other Organization Name | WAKEFIELD MEDICAL CENTER |
| Practice Address |
109 Railroad Avenue Wakefield VA 23434 |
| Mailing Address |
2800 Godwin Blvd Suffolk VA 23434-8038 |
| Practice Telephone | 7578993521 |
| Practice Fax Number | 7578997104 |
| Mailing Telephone | 7579344000 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM CARPENTAR (SR VP-CFO) |
| Authorized Official Telephone | 7579344000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101018926 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 323791 | 01 |
| VA | OPTIMA MEDICAID | 263206 | 01 |
| VA | OPTIMA/SENTARA | 41033 | 01 |
| Other Name | Type Code |
|---|---|
| Wakefield Medical Center | Doing Business As Name - Organization |
| Street Address |
109 RAILROAD AVENUE |
| City | WAKEFIELD |
| State | VA |
| Zip Code | 23434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679504062 | David Jay Weinstein | Family Medicine | 109 Railroad Avenue, Wakefield, VA 23888 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701318 | Dutton Family Care Associates LLP | Family Medicine | 33 Avon St, Wakefield, MA 01880-2310 | 2006-06-24 |
| 1063450708 | Mercy Medical Services | Family Medicine | 308 Ash St, Wakefield, NE 68784-5023 | 2006-06-03 |
| 1215995097 | Michael James Weaver | Family Medicine | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2006-05-02 |
| 1720076011 | Jamiel J Ambrad | Family Medicine | 730 Kingstown Rd, Unit B5, Wakefield, RI 02879-3011 | 2005-10-11 |
| 1336692243 | Kjc Medi Weightloss LLC | Family Medicine | 603 Salem St, Wakefield, MA 01880-1227 | 2016-07-27 |
| 1992151179 | Yuan Yao | Family Medicine | 888 Main St, Wakefield, MA 01880-4080 | 2016-05-06 |
| 1164811733 | Dutton Family Care Associates LLP | Family Medicine | 33 Avon St, Wakefield, MA 01880-2310 | 2015-01-20 |
| 1861811358 | Osteopathic Family Medicine, LLC | Family Medicine | 55 Cherry Ln, Suite 1b, Wakefield, RI 02879-3617 | 2014-04-11 |
| 1962763656 | Sara E Watson | Family Medicine | 1 River St, Wakefield, RI 02879-3214 | 2012-05-30 |
| 1407141724 | Christopher Ryan Klaus | Family Medicine | 1 River St, Thundermist of South County, Wakefield, RI 02879-3214 | 2011-06-15 |
| Find all providers in WAKEFIELD | ||||
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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.