ASIM MAKHDOM (NPI# 1043767734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043767734 |
| Entity Type | Individual |
| Full Name | ASIM MAKHDOM |
| Credential | MD |
| Practice Address |
195 Pleasant Street, Suite 5 Bradford PA 16701 |
| Mailing Address |
908 Niagara Falls Blvd Ste 208 North Tonawanda NY 14120-2019 |
| Practice Telephone | 8143625701 |
| Practice Fax Number | 8143625702 |
| Mailing Telephone | 7416692330 |
| Mailing Fax Number | 7166924342 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 287870 | NY | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | MD456673 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04760550 | 05 |
| Street Address |
195 PLEASANT STREET, SUITE 5 |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| 1083716146 | Dennis Lee Faucher | Dentist | 12 Pine Street, Bradford, PA 16701 | 2006-09-01 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053329037 | Jonathan David Lechner | Orthopaedic Surgery | 195 Pleasant St Unit 5, Bradford, PA 16701-1081 | 2006-08-04 |
| 1205834942 | Shabir Bhayani | Orthopaedic Surgery | 116 Interstate Pkwy Ste 32, Bradford, PA 16701 | 2005-07-07 |
| 1942262803 | Donald Jack Deforno Jr. | Orthopaedic Surgery | 700 South Ave, Bradford, PA 16701-3978 | 2006-04-05 |
| 1679535041 | Bradford Orthopaedic & Sports Medicine Group, PC | Orthopaedic Surgery | 54 Boylston St, 2nd Floor, Bradford, PA 16701-2007 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
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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.