LLOYD A SHABAZZ


Address: 355 Crawford St, Ste 300, Portsmouth, VA 23704-2819
Phone: 7573966333

LLOYD A SHABAZZ (NPI# 1720082183) 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) 1720082183
Entity Type Individual
Full Name LLOYD A SHABAZZ
Credential M.D.
Practice Address 355 Crawford St
Ste 300
Portsmouth
VA 23704-2819
Practice Telephone 7573966333
Practice Fax Number 7573966367
Mailing Telephone 7573966333
Mailing Fax Number 7573966367
Enumeration Date 2005-06-13
Last Update Date 2008-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0101058359 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA OPTIMA HEALTH PLAN 13658 01
VA ANTHEM BCBS 264301 01
VA UNITED HEALTHCARE 3600387 01
VA AETNA PPO/MC 4493043 01
NC NC MEDICAID 7905448 01
VA MAMSI/MDIPA 261076 01

Office Location

Street Address 355 CRAWFORD ST
STE 300
City PORTSMOUTH
State VA
Zip Code 23704-2819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528544186 Elvira Feliciano Barcoma Nurse Practitioner 355 Crawford St, Portsmouth, VA 23704-2816 2018-07-17
1114416187 Rise Behavioral Health, LLC Clinic/Center 355 Crawford St, Portsmouth, VA 23704-2816 2018-05-06
1437515665 Womens Imaging Center of Portsmouth LLC Radiology 355 Crawford St, Suite 102, Portsmouth, VA 23704-2816 2016-01-04
1487020962 Cecilia Otoo Nurse Practitioner 355 Crawford St, Suite 300, Portsmouth, VA 23704-2816 2015-08-19
1881013555 Essential Family Services, LLC In Home Supportive Care 355 Crawford St, Suite 808, Portsmouth, VA 23704-2816 2014-04-10
1447674742 Delta Oncology Associates, P.C. Radiologic Technologist 355 Crawford St, Suite 102, Portsmouth, VA 23704-2816 2014-02-07
1235476490 Jeffrey S Goodman Phd, PC Psychologist 355 Crawford St, Suite 804, Portsmouth, VA 23704-2816 2013-01-08
1073809125 The Arkk Group, LLC Respite Care 355 Crawford St, Ste 333, Portsmouth, VA 23704-2816 2011-06-27
1811298912 Sergey Kobzar Nurse Anesthetist, Certified Registered 355 Crawford St, Suite 808, Portsmouth, VA 23704-2816 2010-11-05
1386956555 Renee Talanda Sandifer In Home Supportive Care 355 Crawford St, Portsmouth, VA 23704-2816 2010-07-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457973588 Ralpheana Denee Lawton Clinic/Center 2317 Richmond Ave, Portsmouth, VA 23704 2020-05-12
1376079186 Faithful Medical Transportation LLC Non-emergency Medical Transport (VAN) 1509 Parker Ave, Portsmouth, VA 23704 2017-05-11
1285184168 Sarah Crawford Counselor Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 2016-10-04
1295137560 Sarah Lee Arnell Rogers Registered Nurse 935 Blair Steet, Portsmouth, VA 23704 2014-09-18
1396161212 Cheryl Denise Mcneil Home Health 1416 Portsmouth Boulevard, Portsmouth, VA 23704 2014-03-17
1609173988 Roberta Marie Hansel-union Behavioral Analyst 711 Court Street, Portsmouth, VA 23704 2011-02-22
1447560875 Denise Anderson Anderson Licensed Vocational Nurse 1227 Summit Ave, Portsmouth, VA 23704 2010-10-19
1770890204 Reymond G. Pascual Md.,pc Specialist 704 London Blvd, Portsmouth, VA 23704 2010-09-03
1184820003 Charles Seth Eisenberg Internal Medicine Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 2007-06-26
1902028251 James Bentley Treatment Program Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1020 Leckie Street, Portsmouth, VA 23704 2007-05-03
Find all providers in zip 23704

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568622801 Yoko Fukuda Internal Medicine 155 Borthwick Ave Ste C, Portsmouth, NH 03801-7156 2008-06-10
1598756363 Tsuyoshi Inoshita Internal Medicine 916 11th St, Portsmouth, OH 45662-3411 2005-11-02
1457357758 Yinong Liu Internal Medicine 1121 Kinneys Ln, Portsmouth, OH 45662-2806 2005-06-22
1417113952 Daniel Bowers Internal Medicine 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2008-08-04
1952596405 Nanda K. Methuku Internal Medicine 1121 Kinneys Ln, Portsmouth, OH 45662-2806 2007-09-07
1780724047 Prh Oncology Internal Medicine 155 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4152 2007-02-07
1770660995 Steven D Paul, Pa Internal Medicine 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 2006-11-01
1396851390 Soundar Rajan Internal Medicine 664 Lincoln St, Portsmouth, VA 23704-4818 2006-08-22
1891730982 Elena N Theodosiou Internal Medicine 155 Borthwick Ave, Suite 301, Portsmouth, NH 03801-7156 2006-06-20
1407898869 Prh Oncology, LLC Internal Medicine 155 Borthwick Ave, Suite 303, Portsmouth, NH 03801-7156 2006-06-11
Find all providers in PORTSMOUTH

Competitor

Search similar providers

City PORTSMOUTH
Zip Code 23704

Improve Information

Please comment or provide details below to improve the information on LLOYD A SHABAZZ.

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.

Trending Searches