MUKONG ADESO


Address: Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001
Phone: 4349249954

MUKONG ADESO (NPI# 1619186004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619186004
Entity Type Individual
Full Name MUKONG ADESO
Credential MD
Practice Address Uva Hospital
Lee Street, 1st Floor
Charlottesville
VA 22908-0001
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349249954
Practice Fax Number 4349826726
Mailing Telephone 4342951000
Mailing Fax Number 4349724266
Enumeration Date 2007-05-22
Last Update Date 2009-12-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 0101244064 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 0116015832 VA Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
VA 1619186004 05

Office Location

Street Address UVA HOSPITAL
LEE STREET, 1ST FLOOR
City CHARLOTTESVILLE
State VA
Zip Code 22908-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366464414 Ann M. Rossi Nurse Practitioner Uva Hospital, Lee Street, 2nd Floor, Charlottesville, VA 22908-0001 2006-07-24
1548559081 Elliot Z Smith Internal Medicine Uva Hospital, 1215 Lee St., Charlottesville, VA 22908-0001 2011-04-05
1013169077 Rebecca L. Hand Nurse Practitioner Uva Hospital, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 2008-10-21
1649439043 Johnny O Alexander Radiology Uva Hospital, Lee Street, Charlottesville, VA 22908-0001 2008-06-02
1386855955 Helen M Molnar Nurse Practitioner Uva Hospital, Lee Street, Charlottesville, VA 22908-0001 2007-05-25
1780895714 Saundra Lee Demko Nurse Practitioner Uva Hospital, Lee Street, Ground Floor, Charlottesville, VA 22908-0001 2007-05-24
1154539138 Carrie M Rochman Radiology Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 2007-05-21
1386851244 John G Antonakakis Anesthesiology Uva Hospital, Lee Street, 2nd Floor, Charlottesville, VA 22908-0001 2007-05-17
1487788659 Selene Meier Evans Nurse Practitioner Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 2007-03-16
1053442129 Colleen W. Green Physician Assistant Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 2007-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568020410 Alexis Evans Physician Assistant 1215 Lee St Nnicu, Charlottesville, VA 22908 2019-06-04
1649702317 Ryan Aschenbrener Student in an Organized Health Care Education/Training Program 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 2017-03-31
1215399241 Katherine Gresham Belote Student in an Organized Health Care Education/Training Program 1221 Lee Street Uva Health System, Charlottesville, VA 22908 2016-03-29
1851776215 Catherine Meller Student in an Organized Health Care Education/Training Program 1215 Lee St., Box 800713, Charlottesville, VA 22908 2015-07-28
1295112597 Breanna Campbell Internal Medicine 1220 Lee St Ste 2401, Charlottesville, VA 22908 2015-05-06
1013255637 Melinda Bowles-childress Nurse Practitioner 1 Hospital Dr Fl 1, Charlottesville, VA 22908 2013-01-17
1053521757 Univeristy of Virginia Health System General Acute Care Hospital University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 2007-05-23
1730241282 Imre Noth Internal Medicine 1221 Lee St Fl 2, Charlottesville, VA 22908 2006-12-14
1023185394 Tamer Ghanem Otolaryngology Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 2006-11-29
1366401242 Lisa M Christianson Obstetrics & Gynecology Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 2006-03-21
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740819911 Charles W Hurt Surgery 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 2020-04-08
1275820870 Ankur Aggarwal Surgery 1215 Lee Street - Box Number 800679, Charlottesville, VA 22908-6712 2011-07-01
1568408938 Martha A Zeiger Surgery 1240 Lee Street Ground Fl, Charlottesville, VA 22908-4515 2006-06-22
1043876402 Andrew Hawkins Surgery 1215 Lee St, Mail Stop 800719, Charlottesville, VA 22908-0816 2019-05-11
1922489962 Benjamin Lee White Surgery 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2015-06-16
1588079008 Celso Frederick Uribe II Surgery 1215 Lee St, Charlottesville, VA 22908-1212 2014-06-23
1477965473 Catherine Lee Kilmartin Surgery 1215 Lee St, Charlottesville, VA 22908-5103 2014-05-24
1386084226 David Christopher Lobb Surgery 1215 Lee St, 800376, Charlottesville, VA 22908-0816 2013-06-25
1700129111 Amanda C Pysher Surgery 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 2013-04-03
1730449810 Timothy S Snow Surgery 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 2012-05-22
Find all providers in CHARLOTTESVILLE

Competitor

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City CHARLOTTESVILLE
Zip Code 22908

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Dataset Information

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.

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