DR. BENJAMIN TABIOLO ULEP (NPI# 1992923825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992923825 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN TABIOLO ULEP |
| Credential | MD |
| Practice Address |
Sussex II State Prison 24427 Musselwhite Dr Waverly VA 23891-0001 |
| Mailing Address |
12705 Karlyn Ct Chester VA 23836-2553 |
| Practice Telephone | 8048342678 |
| Practice Fax Number | 8048342600 |
| Mailing Telephone | 8045300906 |
| Mailing Fax Number | 8048342600 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101840437 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
SUSSEX II STATE PRISON 24427 MUSSELWHITE DR |
| City | WAVERLY |
| State | VA |
| Zip Code | 23891-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861613341 | Sabrina Wells | Dentist | 24414 Musselwhite Rd, Waverly, VA 23891-1111 | 2007-05-01 |
| 1043438229 | Kenneth William Mcgee | Dentist | 24427 Mussellwhite Dr, Waverly, VA 23891-2222 | 2007-04-23 |
| 1932672763 | Nnebuisi Alaedu | Nurse Practitioner | 24427 Mussellwhite Dr, Waverly, VA 23891-2222 | 2019-01-03 |
| 1407171168 | Tamra M Duke | Counselor | 24414 Musselwhite Rd, Waverly, VA 23891-5218 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768486 | Shelly Entler | Home Health Aide | 19448 State Route 772, Waverly, OH 45690-8910 | 2020-10-21 |
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1013514900 | Victoria Sue Kerrigan | Technician | 3034 Bull Run Rd, Waverly, WV 26184-8122 | 2020-10-05 |
| 1821605338 | Quest Diagnostics | Clinical Medical Laboratory | 227 Valley View Dr Ste A, Waverly, OH 45690-9135 | 2020-09-29 |
| 1073126512 | Tracy L. Anderson | Licensed Practical Nurse | 14340 Castlewood St, Waverly, NE 68462-1580 | 2020-08-25 |
| 1760094452 | Sunnycho Teeling | Counselor | 408 W Bremer Ave, Waverly, IA 50677-3153 | 2020-08-23 |
| 1437760550 | Melissa Delancy | Technician | 78 Pebble Creek Dr, Waverly, WV 26184-3505 | 2020-08-12 |
| 1063021962 | Matthew Gordon | Technician | 31 Garden Lane, Waverly, WV 26184 | 2020-07-27 |
| 1245849306 | Maria George | Technician | 15774 Emerson Ave, Waverly, WV 26184-8002 | 2020-07-24 |
| 1891303442 | Wendy Jean Lougher | Licensed Practical Nurse | 441 Pennsylvania Ave, Waverly, NY 14892-1451 | 2020-07-20 |
| Find all providers in WAVERLY | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407266653 | Wallace Mcclure | General Practice | 450 Powers Blvd., Waverly, TN 37185 | 2014-04-28 |
| 1457435851 | Kenneth A Wilkinson | General Practice | 207 St Anns Ln, Waverly, OH 45690-1040 | 2006-10-24 |
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|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
| 1720617525 | Squadron Health Enterprises, LLC | General Practice | 10602 Allenwood Ln, Great Falls, VA 22066-3229 | 2020-04-03 |
| 1851929558 | Medical Care for Family LLC | General Practice | 6408k Seven Corners Pl Ste G, Falls Church, VA 22044-2007 | 2020-03-29 |
| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| Find all providers with the same taxonomy | ||||
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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.