MARIAM AEHTESHAM (NPI# 1033561170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033561170 |
| Entity Type | Individual |
| Full Name | MARIAM AEHTESHAM |
| Practice Address |
1701 Lacey St Cape Girardeau MO 63701-5230 |
| Mailing Address |
3354 Church St Evanston IL 60203-1721 |
| Practice Telephone | 5733344822 |
| Practice Fax Number | 5739865984 |
| Mailing Telephone | 3128685891 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 2019022983 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 355 Ridge Ave, Department of Medicine, Evanston, IL 602023328 | 8473164000 |
| Street Address |
1701 LACEY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376234 | Robert Elvie Perry | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2005-06-20 |
| 1457951279 | William Lee Harris | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-10-30 |
| 1154940344 | Jacob Scott Wren | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-04-08 |
| 1376174227 | Ashtin Paige Cohn | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-01-30 |
| 1033757992 | Matthew Nanney | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-11 |
| 1689211252 | Southeast Health | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-03 |
| 1184269771 | Amanda M Hill | Registered Nurse | 1701 Lacey St, Medtele, Cape Girardeau, MO 63701 | 2019-11-07 |
| 1205480795 | Brittney Faith Sanford | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-08-01 |
| 1104383017 | Jamie Kristen Rich | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-02-27 |
| 1417427584 | Michele Cox | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164688552 | Landmark Hospital of Cape Girardeau, LLC | Hospitalist | 3255 Independence St, Cape Girardeau, MO 63701-4914 | 2008-08-05 |
| 1326431446 | Paraminder Sarao | Hospitalist | 211 Saint Francis Dr, Cape Girardeau, MO 63703 | 2015-03-13 |
| 1831405307 | Muhammad Naeem | Hospitalist | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2010-08-23 |
| 1164604138 | Adekunle Oluwatosin Obisesan | Hospitalist | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987481 | Ziad Sayedahmad | Hospitalist | 3635 Vista Ave Fl 13, Saint Louis, MO 63110-2539 | 2014-06-19 |
| 1063708238 | Ramya Chinnasamy | Hospitalist | 621 S New Ballas Rd Ste 112a, Saint Louis, MO 63141-8252 | 2011-06-25 |
| 1720231483 | Holzum Healthcare LLC | Hospitalist | 2 Progress Point, Ste 101a, O Fallon, MO 63368-2208 | 2008-10-28 |
| 1639235203 | Brian Craig Silverman | Hospitalist | 901 East 5th Street, St. John's Mercy Hospital, Washington, MO 63090 | 2006-12-28 |
| 1093826935 | Northland Hospitalsts LLC | Hospitalist | 3724 N Quincy Circle, Kansas City, MO 64119-0278 | 2006-08-31 |
| 1194779579 | Inpatient Consultants of Missouri Inc | Hospitalist | 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 | 2006-05-20 |
| 1699329086 | Stanley Wade Balch II | Hospitalist | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-24 |
| 1992362776 | Margaret Fonseca | Hospitalist | 224 S Woods Mill Rd Ste 580, Chesterfield, MO 63017-3513 | 2019-05-28 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| 1043724875 | Blessing Hospital | Hospitalist | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2017-12-01 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.