MR. ISAM OMER AWADALLA IV (NPI# 1659523983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659523983 |
| Entity Type | Individual |
| Full Name | MR. ISAM OMER AWADALLA IV |
| Practice Address |
2100 2nd St Sw Us Coast Guard Headquarters Medical Washington DC 20593-0002 |
| Practice Telephone | 2023724100 |
| Practice Fax Number | 2023724912 |
| Mailing Telephone | 2023724100 |
| Mailing Fax Number | 2023724912 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH 18853 | FL | Dental Providers |
| Street Address |
2100 2ND ST SW US COAST GUARD HEADQUARTERS MEDICAL |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20593-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074287 | Armando Francisco Rivera | Technician, Other | 2100 2nd St Sw, Comdt(cg-1122) Us Coast Guard, Suite 5314, Washington, DC 20593-0002 | 2005-12-19 |
| 1457599623 | Harrison Jehu Bland | Dental Hygienist | 2100 2nd St Sw, Washington, DC 20593-0002 | 2009-01-27 |
| 1679736896 | Todd A Devore | Technician, Other | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-07-08 |
| 1336316082 | David Louis Huntley | Technician, Other | 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 | 2008-05-13 |
| 1235303876 | Daniel G. Hernandez | Technician, Other | 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2008-04-15 |
| 1811160757 | David James Pendzick | Technician, Health Information | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-04-11 |
| 1184897100 | Marilyn Perez | Technician, Other | 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 | 2008-04-10 |
| 1679746697 | Uscg Clinic Borinquen | Clinic/Center | 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 | 2008-04-10 |
| 1336327329 | Janilet Haydee Baez | Dental Assistant | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-02-01 |
| 1821275934 | Delano Deshawn Mcvay | Specialist/Technologist, Other | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982869939 | Devon Avery | Student in an Organized Health Care Education/Training Program | 21002ndst Sw Swite 5314, Washington, DC 20593 | 2008-07-18 |
| 1922261056 | Robert Harold Spicer | Technician, Other | 2100 2nd St, Comdt (cg-1122) U.S. Coasst Guard Suite 5314, Washington, DC 20593 | 2008-07-09 |
| 1235391772 | Abby Joanna Shannon | Dentist | Uscg Base Ncr 2703 Martin Luther King Jr Ave Se, Washington, DC 20593 | 2008-06-26 |
| 1760642797 | Sweet-charity May Keplinger | Physician Assistant | 2100 2nd St Sw Suite 5, Comdt ( Cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-06-12 |
| 1730346719 | Stephen M-l Tate | Student in an Organized Health Care Education/Training Program | 2100 2nd St Sw Suit, Comdt (cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-05-19 |
| 1659409167 | Marc J Capra | Technician, Other | Uscg Comdt (cg-1122), 2100 2nd St Sw Suite 5314, Washington, DC 20593 | 2007-02-28 |
| 1336220730 | Christohper John Lisk | Technician, Other | 2100 2nd St Sw Suite 5314, Comdt (cg-1122) U.S. Coast Guard, Washington, DC 20593 | 2006-10-18 |
| 1013097674 | James C. Morgan | Military Health Care Provider | Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2006-10-17 |
| 1811077613 | Thomas Keith Heimann | Technician, Other | 2100 2nd St Sw, Suite 5314, Comdt (cg-1122), U. S. Coast Guard, Washington, DC 20593 | 2006-10-16 |
| 1447330246 | Unitied States Coast Guard | Technician, Other | 2100 2nd St Sw Comdt (cg-1122), Suite 5314 Us Coast Guard, Washington, DC 20593 | 2006-10-16 |
| Find all providers in zip 20593 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985267 | Kelli Cherie Johnson | Dental Hygienist | 950 Maine Ave Sw Apt 1215, Washington, DC 20024-3461 | 2020-05-29 |
| 1417471285 | Jocelyn Aimee Cramer | Dental Hygienist | 1999 S Main Street Ext, Washington, PA 15301-3200 | 2017-08-02 |
| 1922541507 | Mobile Dental Hygiene of St. George | Dental Hygienist | 2506 E Wilderness Gate Dr, Washington, UT 84780-2582 | 2016-11-30 |
| 1881083913 | Sara Martin | Dental Hygienist | 460 Waldoboro Rd, Washington, ME 04574-3202 | 2015-01-13 |
| 1376767848 | Mary Melissa Brown | Dental Hygienist | 1306 Saratoga Ave Ne Apt 1, Washington, DC 20018-1964 | 2007-04-13 |
| 1285628263 | Wanda Dixon | Dental Hygienist | 166 Buchanan St Se, Washington, DC 20374 | 2005-09-07 |
| 1699768762 | Linda I Maldonato | Dental Hygienist | Va Medical Cnt Dental Service, 50 Irving St Nw, Washington, DC 20422-0001 | 2005-08-24 |
| 1366052813 | Deidrix Tucker | Dental Hygienist | 4 Atlantic St Sw, Washington, DC 20032-2350 | 2020-08-08 |
| 1083240121 | Jennifer Lynn Boyd | Dental Hygienist | 37 Highland Ave, Washington, PA 15301-4062 | 2020-03-20 |
| 1124668488 | Deborah L Brimmer | Dental Hygienist | 5801 Defense Pentagon, Washington, DC 20310 | 2020-01-14 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20593 |
Please comment or provide details below to improve the information on MR. ISAM OMER AWADALLA IV.
| 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.