AIDA ONG OBUSAN (NPI# 1831160068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831160068 |
| Entity Type | Individual |
| Full Name | AIDA ONG OBUSAN |
| Credential | MD,FAAP |
| Practice Address |
325 Charles H Dimmock Pkwy Suite 600 Colonial Heights VA 23834-2986 |
| Practice Telephone | 8045183288 |
| Mailing Telephone | 8045183288 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0101056016 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
325 CHARLES H DIMMOCK PKWY SUITE 600 |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518483023 | Pamela R Clarke | Nurse Practitioner | 325 Charles H Dimmock Pkwy, Ste 100, Colonial Heights, VA 23834-2986 | 2017-08-16 |
| 1912433814 | Kimberly Dangelo | Physical Therapist | 325 Charles H Dimmock Pkwy, Suite 100, Colonial Heights, VA 23834-2986 | 2017-05-11 |
| 1861818361 | Yu Pediatrics PC | Pediatrics | 325 Charles H Dimmock Pkwy, Suite 600, Colonial Heights, VA 23834-2914 | 2014-03-10 |
| 1841453925 | Patricia Ellen Lacy | Physician Assistant | 325 Charles H Dimmock Pkwy, Suite 100, Colonial Heights, VA 23834-2986 | 2008-07-08 |
| 1962603910 | April Dawn Wray | Nurse Practitioner | 325 Charles H Dimmock Pkwy, Suite 100, Colonial Heights, VA 23834-2986 | 2007-05-29 |
| 1255300505 | Akshay S Dave | Internal Medicine | 325 Charles H Dimmock Pkwy, Suite 500, Colonial Heights, VA 23834-2986 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164869020 | Kyzwana N Caves | Pediatrics | 301 Riverview Ave Ste 3, Norfolk, VA 23510-1065 | 2013-05-31 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1013042480 | Privia Medical Group, LLC | Pediatrics | 950 N Glebe Rd, Suite 4000, Arlington, VA 22203-1824 | 2007-02-23 |
| 1821133489 | John Stephen Zachary | Pediatrics | 1521 Huguenot Rd, Suite 101, Midlothian, VA 23113-2426 | 2007-02-21 |
| 1831246891 | William J. Mcaveney | Pediatrics | 221 Randolph St, Mineral, VA 23117-4493 | 2007-01-04 |
| 1619071149 | Irene Townsend | Pediatrics | 3605 Ferncliff Ave Nw, Roanoke, VA 24017-1411 | 2006-09-13 |
| 1447352018 | Richard Vichitr Chusuei | Pediatrics | 8373a Greensboro Dr, Mclean, VA 22102-3529 | 2006-09-02 |
| 1821105412 | Chang-kai Lilly Liu | Pediatrics | 8377a Greensboro Drive, Mclean, VA 22102-3529 | 2006-08-23 |
| 1356457774 | Patty Anne Chitwood | Pediatrics | Schiffert Health Center-virginia Tech, Nccomas Hall, Blacksburg, VA 24060 | 2006-08-21 |
| 1174637888 | Yasmin K. Anez | Pediatrics | 8365a Greensboro Dr, Mclean, VA 22102-3530 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
Please comment or provide details below to improve the information on AIDA ONG OBUSAN.
| 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.