DR. ABDALLAH NADDAF (NPI# 1710392071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710392071 |
| Entity Type | Individual |
| Full Name | DR. ABDALLAH NADDAF |
| Credential | M.D |
| Practice Address |
613 23rd St Ste 140 Ashland KY 41101 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6063261675 |
| Practice Fax Number | 6063261436 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
52325 | KY | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
125.064628 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 609 N Carol Malone Blvd Ste 105, Grayson, KY 411431123 | 6064742235 | 6064742236 |
| 701 N 1st St, Springfield, IL 627023757 | 2175458856 | 2175452563 |
| Street Address |
613 23RD ST STE 140 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780754028 | Paul Wesley Lewis | Radiology | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2006-11-08 |
| 1962978544 | Kelsey Lauren Gee | Nurse Practitioner | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2018-10-22 |
| 1649780917 | Vada Stanley | Nurse Practitioner | 613 23rd St Ste 140, Ashland, KY 41101 | 2017-10-02 |
| 1679090963 | Lauren Noel Ison | Physician Assistant | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2017-08-28 |
| 1528412459 | Emily Kirsten Greene | Physician Assistant | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2016-04-18 |
| 1699105304 | Robert Joshua Logan | Occupational Therapist | 613 23rd St Ste 140, Ashland, KY 41101 | 2013-11-15 |
| 1538455399 | David William Dockray | Surgery | 613 23rd St Ste 140, Ashland, KY 41101 | 2011-06-21 |
| 1306972617 | Holly Jo Knuckles | Physician Assistant | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053559617 | Kentucky Heart Institute | Surgery | 613 23rd St, Suite G-10, Ashland, KY 41101-2878 | 2009-02-04 |
| 1083664254 | Omran Riad Abul-khoudoud | Surgery | 613 23rd St, Ste 140, Ashland, KY 41101-2878 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658622 | Center for Vein Restoration Ky, LLC | Surgery | 2054 E Parrish Ave Ste A, Owensboro, KY 42303-1448 | 2016-09-23 |
| 1699066803 | Narayan Venguswamy Psc | Surgery | 1140 Lexington Rd # 101, Georgetown, KY 40324-9330 | 2011-04-21 |
| 1073833950 | Chen Rubinstein | Surgery | Cardiac Surgery of South Central Ky, 350 Park St Suite 210, Bowling Green, KY 42101 | 2010-06-02 |
| 1396064796 | Dong Hee Lee | Surgery | 800 Rose St # C225, Lexington, KY 40536-7001 | 2010-05-25 |
| 1053638734 | Samuel Chand Tyagi | Surgery | 800 Rose St # C212, Lexington, KY 40536-7001 | 2010-04-21 |
| 1447457247 | Sara Lynnea Cederstrand | Surgery | 1532 Lone Oak Road, Suite 405, Paducah, KY 42003-7942 | 2007-06-27 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| 1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
| 1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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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.