ANITA BHALLA (NPI# 1013983790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013983790 |
| Entity Type | Individual |
| Full Name | ANITA BHALLA |
| Credential | MD |
| Practice Address |
15000 Madison Ave Lakewood OH 44107 |
| Mailing Address |
20525 Center Ridge Road Suite 220 Rocky River OH 44116 |
| Practice Telephone | 2164721404 |
| Practice Fax Number | 2165297806 |
| Mailing Telephone | 4408955042 |
| Mailing Fax Number | 4403332935 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2009-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35078416B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 9200381 | 01 | |
| SUMMACARE APEX | C78416 | 01 | |
| OH | GROUP MEDICARE PTAN | 9273172 | 01 |
| ANTHEM | 000000342372 | 01 | |
| OH | MEDICAID GROUP NUMBER | 0119204 | 01 |
| AETNA | 7007606 | 01 | |
| OH | 2488099 | 05 | |
| OH | ANTHEM | 000000593931 | 01 |
| Street Address |
15000 MADISON AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245206903 | Mourad El-gazzar | Internal Medicine | 15000 Madison Ave, Lakewood, OH 44107 | 2006-02-23 |
| 1558370148 | Angelo M Barile | Internal Medicine | 15000 Madison Ave, Lakewood, OH 44107-4014 | 2006-08-05 |
| 1336116565 | Prasadarao Kondapalli | Internal Medicine | 15000 Madison Ave, Lakewood, OH 44107-4014 | 2006-03-07 |
| 1205803665 | Gasan Nemr | Internal Medicine | 15000 Madison Ave, Lakewood, OH 44107 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1316038045 | Liza Dominguez Chavez | Internal Medicine | 3650 E. South St, Suite 308, Lakewood, CA 90712 | 2006-09-27 |
| 1710074257 | Liza D Chavez, Md., Inc | Internal Medicine | 3650 E. South St, Suite 308, Lakewood, CA 90712-1405 | 2006-10-06 |
| 1851324875 | Infectious Diseases Professionals LLC | Internal Medicine | 101 Prospect St, Suite 115, Lakewood, NJ 08701-5020 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902422470 | Aids Healthcare Foundation | Internal Medicine | 815 W Broad St # 350, Columbus, OH 43222-1464 | 2020-06-22 |
| 1801378302 | Nicole M Cleland | Internal Medicine | 540 Parmalee Ave Ste 610, Youngstown, OH 44510-1605 | 2018-08-30 |
| 1316339104 | Premier Specialists In Infectious Disease, LLC | Internal Medicine | 4316 Dressler Rd Nw, Canton, OH 44718-2752 | 2015-03-03 |
| 1104222603 | Mohammad Ali Rai | Internal Medicine | 200 Eden Avenue, Cincinnati, OH 45219-0001 | 2014-11-10 |
| 1114335601 | Francis Gertrudis Wadskier Montagne | Internal Medicine | 400 Matthew St Ste 202, Marietta, OH 45750-1656 | 2014-07-28 |
| 1669895660 | Harrison Bradford Hawley | Internal Medicine | 6761 Trailview Dr, Dayton, OH 45414-2165 | 2014-01-27 |
| 1225472376 | Rishi Sharma | Internal Medicine | 3609 Park East Dr., Suite 207, Beachwood, OH 44122-4309 | 2013-04-19 |
| 1811277460 | Klaus Infectious Disease LLC | Internal Medicine | 837 Park St, Columbus, OH 43215-1441 | 2011-08-26 |
| 1538450580 | Infectious Disease Physicians, LLC | Internal Medicine | 3864 Maple Grove Ln, Dayton, OH 45440-4502 | 2011-04-26 |
| 1003110685 | Charles Harding King | Internal Medicine | 5550 Vanture Drive, Cuyahoga County Board of Health, Parma, OH 44130-9315 | 2010-12-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANITA BHALLA.
| 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.