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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101058359 | VA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
355 CRAWFORD ST STE 300 |
City | PORTSMOUTH |
State | VA |
Zip Code | 23704-2819 |
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 |
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 Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
City | PORTSMOUTH |
Zip Code | 23704 |
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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.