DR. JON MICHAEL ADLEBERG (NPI# 1710981246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710981246 |
Entity Type | Individual |
Full Name | DR. JON MICHAEL ADLEBERG |
Credential | M.D. |
Practice Address |
516 Innovation Dr Ste 101 Chesapeake VA 23320-3866 |
Practice Telephone | 7574360011 |
Practice Fax Number | 7574360075 |
Mailing Telephone | 7574360011 |
Mailing Fax Number | 7574360075 |
Enumeration Date | 2005-06-13 |
Last Update Date | 2017-05-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 9800004 | NC | Other Service Providers |
N | 174400000X | Specialist | 0101056722 | VA | Other Service Providers |
N | 207W00000X | Ophthalmology | 9800004 | NC | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 0101056722 | VA | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
0101056722 | VA | Allopathic & Osteopathic Physicians |
N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
9800004 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 006309895 | 05 |
Street Address |
516 INNOVATION DR STE 101 |
City | CHESAPEAKE |
State | VA |
Zip Code | 23320-3866 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689876823 | Michelle Marie Paulsen | Family Medicine | 516 Innovation Dr, Suite 103, Chesapeake, VA 23320-3847 | 2007-06-01 |
1730214248 | Tidewater Family Medical Care, PC | Family Medicine | 516 Innovation Dr, Ste 103, Chesapeake, VA 23320-3847 | 2007-02-23 |
1245375898 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 516 Innovation Dr, 305, Chesapeake, VA 23320-3866 | 2007-02-21 |
1659483022 | Hampton Roads Retina Center | Specialist | 516 Innovation Dr, Suite 101, Chesapeake, VA 23320-3866 | 2006-08-31 |
1528091634 | Frank Joseph Piccioni | Family Medicine | 516 Innovation Dr, Suite 103, Chesapeake, VA 23320-3847 | 2006-07-09 |
1326015637 | Kimberly Harris | Nurse Practitioner | 516 Innovation Dr, Suite 305, Chesapeake, VA 23320-3866 | 2006-03-06 |
1407821291 | Rebecca M Ryder | Obstetrics & Gynecology | 516 Innovation Dr, Ste 305, Chesapeake, VA 23320-3866 | 2006-02-23 |
1366417271 | Linda Long | Obstetrics & Gynecology | 516 Innovation Dr, Ste 305, Chesapeake, VA 23320-3866 | 2006-02-22 |
1275514861 | Brinda Mayur Dixit | Internal Medicine | 516 Innovation Dr, Suite 204, Chesapeake, VA 23320-3866 | 2005-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
Find all providers in zip 23320 |
Taxonomy Code | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902462047 | Amir H Hariri | Ophthalmology | 9702 Stanton Dr, Fairfax, VA 22031-3555 | 2019-05-14 |
1467910554 | Samuel H Yun Ophthalmology Plc | Ophthalmology | 3959 Pender Dr Ste 260, Fairfax, VA 22030-6041 | 2019-03-07 |
1770993081 | Virginia Retina Consultants, Plc | Ophthalmology | 540 Lew Dewitt Blvd, Suite 5, Waynesboro, VA 22980-1665 | 2014-05-08 |
1700976834 | Virginia Retina Consultants, Plc | Ophthalmology | 600 Peter Jefferson Pkwy Ste 350, Charlottesville, VA 22911-8836 | 2006-10-12 |
1235172461 | Andy Hay | Ophthalmology | 8717 Digges Road, Manassas, VA 20110 | 2006-06-14 |
1770943565 | Virginia Retina Specialists | Ophthalmology | 6400 Arlington Blvd., Suite 600, Falls Church, VA 22042-2349 | 2016-03-07 |
1356769731 | Evan M Berger | Ophthalmology | 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 | 2014-04-02 |
1033485065 | Brittany Elizabeth Powell | Ophthalmology | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2012-03-23 |
1275783235 | Advanced Retina Center, Lc | Ophthalmology | 8233 Old Courthouse Rd, Suite 300, Vienna, VA 22182-3816 | 2008-09-26 |
1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
Find all providers with the same taxonomy |
City | CHESAPEAKE |
Zip Code | 23320 |
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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.