Abay T Taddesse (NPI# 1275747891, PAC ID# 2567632680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1275747891 |
| PAC ID by PECOS | 2567632680 |
| Professional Enrollment ID | I20141231000509 |
| Full Name | Abay T Taddesse |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Address |
5659 Pkwy Dr Gloucester VA 23061-3792 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921903923 |
| Number of Group Practice Members | 848 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490093 | SENTARA CAREPLEX HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490066 | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
| 490044 | SENTARA OBICI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5659 Pkwy Dr, Gloucester, VA 23061-3792 | SENTARA MEDICAL GROUP | |
| 4001 Coliseum Dr, Hampton, VA 23666-6257 | SENTARA MEDICAL GROUP | |
| 830 Kempsville Rd, 2b223, Norfolk, VA 23502-3920 | 7572618860 | SENTARA MEDICAL GROUP |
| 836 Glenrock Rd, Suite 100, Norfolk, VA 23502-3702 | 7572522900 | SENTARA MEDICAL GROUP |
| 850 Kempsville Rd, Norfolk, VA 23502-3920 | SENTARA MEDICAL GROUP |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Physicians | 866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrilyn E Nelson | Family Medicine | Sentara Medical Group | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 |
| Natalia Zapata | Nurse Practitioner | Sentara Medical Group | 303 35th St, Suite 102, Virginia Beach, VA 23451-2868 |
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Christopher Nein | Family Medicine | Sentara Medical Group | 3920 Bridge Rd A, Suffolk, VA 23435-1117 |
| Mary Townsend Adams | Nurse Practitioner | Sentara Medical Group | 3600 Pointe Ctr Ct, Dumfries, VA 22026-2669 |
| Laura Renee Pinkney | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Erica L Formato | Family Medicine | Sentara Medical Group | 2760 Godwin Blvd, Suite 100, Suffolk, VA 23434-8501 |
| Diane Renee Weidner | Nurse Practitioner | Sentara Medical Group | 500 Sentara Circle, Suite 202, Williamsburg, VA 23188-5727 |
| Julie Sharlene Jones | Nurse Practitioner | Sentara Medical Group | 633 Battlefield Blcd S, 300 Intracoastal Family Practice, Chesapeake, VA 23322-4800 |
| Martha I Morolari | Nurse Practitioner | Sentara Medical Group | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
| Street Address |
5659 PKWY DR |
| City | GLOUCESTER |
| State | VA |
| Zip | 23061-3792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula K Figgs | Physician Assistant | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Michael E Landis | Vascular Surgery | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Bonnie J Brooks | Internal Medicine | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| John A Kirk | Physician Assistant | Velocity Urgent Care LLC | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Robert M Kowalewski | Rheumatology | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Michael James Jacobson | Otolaryngology | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Vonetta Charlene Lee | Family Medicine | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Roger A Watkins | Internal Medicine | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Robert Dearnley | Physician Assistant | Velocity Urgent Care LLC | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| John R Lennon Iv | Physician Assistant | Velocity Urgent Care LLC | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Muffelman | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-0693 | |
| Layton W Merithew | Chiropractic | 6091 George Washington Memorial Hwy, Gloucester, VA 23061-3750 | |
| Wayne J Reynolds | Family Medicine | Sentara Medical Group | 5659 Pkwy Dr, Suite 210, Gloucester, VA 23061-3782 |
| Richard A. Hoefer | General Surgery | Sentara Medical Group | 5659 Pkwy Dr, Suite 100, Gloucester, VA 23061-3782 |
| Shannon Burris | Nurse Practitioner | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Lynn Berkhimer | Nurse Practitioner | Sentara Medical Group | 5659 Pkwy Dr, Suite 100, Gloucester, VA 23061-3792 |
| Wendy S Shulman | Nurse Practitioner | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| John L Howard Ii | Otolaryngology | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Suite 240, Gloucester, VA 23061-3792 |
| Courtney E Hart | Qualified Audiologist | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Michael J Javernick | Family Medicine | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Find all physicians in zip 23061 | |||
| City | GLOUCESTER |
| Zip Code | 23061 |
| Specialty | HOSPITALIST |
| City + Specialty | GLOUCESTER + HOSPITALIST |
Please comment or provide details below to improve the information on Abay T Taddesse.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.