DR. TAMAR CHRISTINE LEDBETTER (NPI# 1912915323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912915323 |
| Entity Type | Individual |
| Full Name | DR. TAMAR CHRISTINE LEDBETTER |
| Credential | M.D., MFT |
| Practice Address |
576 Jefferson Ave Bldg 576 Fort Eustis VA 23604-1373 |
| Mailing Address |
109 Bugle Ct Yorktown VA 23693-3345 |
| Practice Telephone | 7573147500 |
| Mailing Telephone | 7578678707 |
| Mailing Fax Number | 7578388233 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101049845 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006709796 | 05 |
| Street Address |
576 JEFFERSON AVE BLDG 576 |
| City | FORT EUSTIS |
| State | VA |
| Zip Code | 23604-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375188 | Vincent Nevin Lattanzi | Dental Assistant | 576 Fort Eustis Blvd, Fort Eustis, VA 23604 | 2019-09-12 |
| 1730531872 | Steven Mansion | Dental Assistant | Bldg 669 Monroe Ave, Fort Eustis, VA 23604 | 2016-07-12 |
| 1497106140 | Cindy Delapena | Dental Hygienist | 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 | 2016-06-23 |
| 1073990131 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1386 Washington Blvd, Fort Eustis, VA 23604 | 2015-04-28 |
| 1548529985 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1386, Fort Eustis, VA 23604 | 2012-05-04 |
| 1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1922161157 | Kimberly Sue Strubhar | Licensed Practical Nurse | Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 | 2006-12-19 |
| 1972666287 | Nkechi Trudy Ekwueme | Licensed Practical Nurse | Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 | 2006-12-18 |
| Find all providers in zip 23604 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1447211164 | Ronald A. Mack | Pediatrics | Mcdonald Army Community Health Center, Jefferson Avenue, Fort Eustis, VA 23604 | 2006-03-31 |
| 1013075852 | Marivic Cristobal Raymundo | Pediatrics | 576 Jefferson Ave, Mc Donald Army Health Center, Fort Eustis, VA 23604 | 2006-12-05 |
| 1063499135 | Rodolfo Estrera Bautista | Pediatrics | Mcdonald Army Community Hospital, Jefferson Ave Building 576, Fort Eustis, VA 23604-5548 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1134738602 | Lolita Lopez | Pediatrics | 43547 Freeport Pl, Sterling, VA 20166-2160 | 2020-07-30 |
| 1184252330 | Arlene Marie Lorica | Pediatrics | 7902 Tysons One Pl Unit 2613, Mc Lean, VA 22102-5239 | 2020-03-31 |
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1649817636 | Susan Jane Argyle | Pediatrics | 7501 Little River Tpke Ste 202, Annandale, VA 22003-2923 | 2019-12-09 |
| 1003477621 | Deborah Williams Ward | Pediatrics | 1810 Plain View Rd, Henrico, VA 23238-4152 | 2019-06-25 |
| 1467012120 | Keith Henry | Pediatrics | 23458 Cool Water Dr, Ruther Glen, VA 22546-3325 | 2019-06-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT EUSTIS |
| Zip Code | 23604 |
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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.