NICOLE PENKE (NPI# 1356530331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356530331 |
| Entity Type | Individual |
| Full Name | NICOLE PENKE |
| Credential | MD |
| Practice Address |
8140 Ashton Ave Ste 120 Manassas VA 20109-5699 |
| Mailing Address |
1660 N Quinn St Arlington VA 22209-2817 |
| Practice Telephone | 7033613128 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2011-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 57013584 | OH | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 0101249998 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8140 ASHTON AVE STE 120 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-5699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285021345 | Loudoun Medical Group PC | Ophthalmology | 8751 Sudley Rd, 2nd Floor, Manassas, VA 20110-8319 | 2015-04-16 |
| 1457674152 | Medical Eye Care Associates, PC | Ophthalmology | 8717 Digges Rd, Manassas, VA 20110-4403 | 2010-03-09 |
| 1841463098 | Jordana G. Fein | Ophthalmology | 10530 Linden Lake Plz Ste 305, Manassas, VA 20109-6434 | 2008-04-09 |
| 1285721431 | Alan C Egge Md PC | Ophthalmology | 8140 Ashton Avenue, Suite 120, Manassas, VA 20109 | 2006-10-09 |
| 1336165018 | David Harvan | Ophthalmology | 8625 Sudley Rd, Manassas, VA 20110-4515 | 2006-07-14 |
| 1821207820 | Diane Florence Mckenzie | Ophthalmology | 8140 Ashton Avenue, Suite 120, Manassas, VA 20109-5698 | 2007-05-22 |
| 1164446563 | Patricia D Smith | Ophthalmology | 8625 Sudley Rd, Manassas, VA 20110-4515 | 2006-07-27 |
| 1235101312 | Charles C Hogge | Ophthalmology | 8140 Ashton Ave, Suite 120, Manassas, VA 20109-5698 | 2006-02-03 |
| 1376515759 | Alan C Egge | Ophthalmology | 8140 Ashton Ave, Ste 120, Manassas, VA 20109-5698 | 2006-02-01 |
| 1902878382 | Jennifer H Jacobs | Ophthalmology | 8140 Ashton Ave, Ste 120, Manassas, VA 20109-5698 | 2006-02-01 |
| Find all providers in MANASSAS | ||||
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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.