DR. BONITA J MAKDAD (NPI# 1144280652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144280652 |
| Entity Type | Individual |
| Full Name | DR. BONITA J MAKDAD |
| Credential | MD |
| Practice Address |
412 Libbie Ave Suite 4 Richmond VA 23226-2659 |
| Practice Telephone | 8042828082 |
| Practice Fax Number | 8042829082 |
| Mailing Telephone | 8042828082 |
| Mailing Fax Number | 8042829082 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
0101042245 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 06707432 | 05 |
| Street Address |
412 LIBBIE AVE SUITE 4 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922275973 | Monica Martin Wright | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2008-05-09 |
| 1154597441 | Bonnylin Lindquist | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2008-05-06 |
| 1578743977 | Elizabeth Jackson | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-14 |
| 1063692473 | Natalie Erger | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-14 |
| 1174704506 | Michelle Jeter | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-14 |
| 1134309669 | Beverly Mallon | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-13 |
| 1457531907 | Carol Flinn | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-13 |
| 1134309750 | Debra Owens | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-12 |
| 1780864389 | Joan Oberle | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-12 |
| 1326265257 | Lynn Harrington Johnson | Pediatrics | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 |
|---|---|---|---|---|
| 1942644588 | Shajeer Noorudeen | Pediatrics | 1000 E Broad St # 5-104, Richmond, VA 23219-1930 | 2013-04-25 |
| 1437415833 | Oleksandr Mikhailovich Kudin | Pediatrics | 1506 Willow Lawn Dr Ste 205, Richmond, VA 23230-3418 | 2012-04-10 |
| 1922181007 | Commonwealth Neonatology, Inc. | Pediatrics | 412 Libbie Ave Ste 4, Richmond, VA 23226-2658 | 2006-10-23 |
| 1972567949 | Ann T Heerens | Pediatrics | 5855 Bremo Rd Ste 100, Richmond, VA 23226-1926 | 2006-04-14 |
| 1306826607 | Robert J Balcom | Pediatrics | 2810 N Parham Rd, Suite 250, Richmond, VA 23294-4434 | 2006-01-20 |
| 1265818637 | Sheridan Rop Services of Virginia, Inc. | Pediatrics | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2015-08-07 |
| 1265824445 | Nayef Chahin | Pediatrics | 1213 E Clay St, Richmond, VA 23298-5071 | 2015-02-25 |
| 1699095091 | Mark T. Astoria | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2010-06-08 |
| 1902125305 | Tazuddin Azmi Mohammed | Pediatrics | 1250 E Marshall St, Pediatrics/neonatology, Richmond, VA 23298-5051 | 2010-05-25 |
| 1659517159 | Archana Jayaram | Pediatrics | 1250 E Marshall St, North Hospital, 6th Floor, Room 6-020, Richmond, VA 23298-5051 | 2009-01-05 |
| Find all providers in RICHMOND | ||||
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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.