BASSAM ALTAJAR (NPI# 1013945815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013945815 |
| Entity Type | Individual |
| Full Name | BASSAM ALTAJAR |
| Credential | MD |
| Practice Address |
425 Nursing Home Dr Arcadia FL 34266-3839 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 9418120896 |
| Mailing Telephone | 9417764000 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME83500 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME83500 | FL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
ME83500 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264341300 | 05 |
| Street Address |
425 NURSING HOME DR |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311759 | Dustin Cartee | Nurse Practitioner | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2020-06-17 |
| 1790317022 | Elizabeth Swengros | Physician Assistant | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2020-02-05 |
| 1346898947 | Jenny Vest | Nurse Practitioner | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2019-08-28 |
| 1952963506 | Mcr Health, Inc. | Internal Medicine | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2019-07-03 |
| 1275098147 | Mcr Health, Inc. | Clinic/Center | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2019-02-05 |
| 1811479728 | Christopher Corriveau | Nurse Practitioner | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2018-09-06 |
| 1669952156 | Mcr Health, Inc. | Clinic/Center | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2018-08-15 |
| 1851836571 | Alvaro Cornejo Cobo | Internal Medicine | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2017-01-04 |
| 1992198709 | John Fernandez | Physical Therapist | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2015-03-18 |
| 1609279918 | Altajars's Consultant, Inc | Internal Medicine | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194045633 | Otto Kahn | Internal Medicine | 166 Luben Ln, Arcadia, CA 91006-4679 | 2010-06-07 |
| 1922058718 | Jaime O Henriquez | Internal Medicine | 289 W Huntington Dr Ste 401, Arcadia, CA 91007-3493 | 2006-05-11 |
| 1487611638 | Karl Heiner Vogelbach | Internal Medicine | 900 S 1st Ave, Ste E, Arcadia, CA 91006-7526 | 2006-04-28 |
| 1851356745 | Stephen J Soldo | Internal Medicine | 301 W Huntington Drive, Suite 500, Arcadia, CA 91007 | 2006-04-20 |
| 1609279918 | Altajars's Consultant, Inc | Internal Medicine | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2014-09-30 |
| 1396042289 | Southern California Heart Specialists | Internal Medicine | 224 S Santa Anita Ave, Arcadia, CA 91006-3521 | 2011-02-11 |
| 1518145689 | Paul G Hovsepian Md,inc | Internal Medicine | 650 W Duarte Rd, #209g, Arcadia, CA 91007-7617 | 2008-01-31 |
| 1811189822 | Victor A. Gabrielian | Internal Medicine | 289 W Huntington Dr Ste 401, Arcadia, CA 91007-3493 | 2007-08-14 |
| 1497779011 | Diagnostic Heart Center, Inc | Internal Medicine | 624 W Duarte Rd, Suite 207, Arcadia, CA 91007-7603 | 2006-07-27 |
| 1376567776 | Mir Taqui Ali | Internal Medicine | 624 W Duarte Rd, Suite 207, Arcadia, CA 91007-7603 | 2006-07-27 |
| Find all providers in ARCADIA | ||||
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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.