Tedla B Anbessie (NPI# 1972590743, PAC ID# 4183619117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972590743 |
| PAC ID by PECOS | 4183619117 |
| Professional Enrollment ID | I20040419000473 |
| Full Name | Tedla B Anbessie |
| Organization Legal Name | FIVE STAR PHYSICIAN SERVICES LLC |
| Address |
14906 Jefferson Davis Hwy Woodbridge VA 22191-4016 |
| Phone Number | 7034916167 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 3779572862 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| 490022 | MARY WASHINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 85 S S Bragg St, Suite 100, Alexandria, VA 22312-2793 | 7038450700 | BLUE NILE MEDICAL CENTER, P.C. |
| 7420 Marlboro Pike, Forestville, MD 20747-4343 | 4106548602 | FIVE STAR PHYSICIAN SERVICES LLC |
| 2146 Jefferson Davis Hwy 101, Stafford, VA 22554-7223 | 5406579191 | MEDICAL AND URGENT CARE CENTER, PC |
| 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 7034916167 | FIVE STAR PHYSICIAN SERVICES LLC |
| Organization Legal Name | FIVE STAR PHYSICIAN SERVICES LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha L Loving | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Deborah A Stein | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Usha V Gollapalli | Internal Medicine | Five Star Physician Services LLC | 9106 Pine View Ln, Clinton, MD 20735-3229 |
| Emmanuel N Enokpa | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Neka D Anyaogu | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Kathy Davis | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Elena V Iarikova | Hospitalist | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Javier Quant-gonzalez | Internal Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Tasneem Lakhani | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Harold Bob | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Street Address |
14906 JEFFERSON DAVIS HWY |
| City | WOODBRIDGE |
| State | VA |
| Zip | 22191-4016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Lorraine Stallings | Physical Medicine and Rehabilitation | Integrative Sports and Spine Inc | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 |
| Laurene Troxler | Nurse Practitioner | Five Star Physician Services LLC | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian Cohen | Physical Therapy | Performance Physical Therapy LLC | 13957 Jefferson Davis Hwy, Woodbridge, VA 22191-2010 |
| Benjamin A Adewale | Psychiatry | 2133 Montgomery Ave, Woodbridge, VA 22191-2655 | |
| Abhay V Aggroia | Internal Medicine | Manbir Takhar, P.C. | 14527 Jefferson Davis Hwy, Woodbridge, VA 22191-2817 |
| Jeyoung Yun | Chiropractic | 14416 Jefferson Davis Hwy, Suite 15, Woodbridge, VA 22191-2890 | |
| Stuart A Meyers | Cardiovascular Disease (cardiology) | 1502 Featherstone Rd, Woodbridge, VA 22191-3100 | |
| Marc C Alembik | Obstetrics/gynecology | About Women Ob/gyn | 2296 Opitz Blvd, Suite 440, Woodbridge, VA 22191-3300 |
| Allyse L Weltman | Obstetrics/gynecology | About Women Ob/gyn | 2296 Opitz Blvd, Suite 440, Woodbridge, VA 22191-3300 |
| Jocelyn Kehinde Ajala | Obstetrics/gynecology | About Women Ob/gyn | 2296 Opitz Blvd, Suite 440, Woodbridge, VA 22191-3300 |
| Sally S Salib | Physician Assistant | Associates In Gastroenterology, P.C. | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22191-3300 |
| Kelsey P Gaid | Physician Assistant | Associates In Gastroenterology, P.C. | 14010 Smoketown Rd, Woodbridge, VA 22191-3300 |
| Find all physicians in zip 22191 | |||
| City | WOODBRIDGE |
| Zip Code | 22191 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODBRIDGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tedla B Anbessie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.