ISAM DIAB (NPI# 1063488765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063488765 |
| Entity Type | Individual |
| Full Name | ISAM DIAB |
| Credential | MD |
| Practice Address |
18660 Bagley Road #102b Middleburg Hts OH 44130 |
| Mailing Address |
20525 Center Ridge Road Suite 220 Rocky River OH 44116 |
| Practice Telephone | 4408919395 |
| Practice Fax Number | 4408911765 |
| Mailing Telephone | 4408955056 |
| Mailing Fax Number | 4403332935 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
35059458D | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 4247166 | 01 |
| OH | 0786707 | 05 | |
| GROUP NPI | 1780634279 | 01 | |
| SUMMACARE APEX | F59458 | 01 | |
| OH | ASC GROUP MEDICARE | 3610861 | 01 |
| CARESOURCE | 341783789049 | 01 | |
| RR MEDICARE GROUP | CA4511 | 01 | |
| KAISER | 102940 | 01 | |
| ANTHEM | 000000031889 | 01 | |
| OH | DIAGNOSTIC GROUP MEDICARE | D368301 | 01 |
| GROUP MEDICAID | 0119204 | 01 | |
| UNITED HEALTHCARE | 3200064 | 01 | |
| WELLCARE MEDICAID | 350849 | 01 | |
| OH | GROUP MEDICARE | 9273172 | 01 |
| Street Address |
18660 BAGLEY ROAD #102B |
| City | MIDDLEBURG HTS |
| State | OH |
| Zip Code | 44130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295158517 | Dhillon Dental Care L.l.c | Dentist | 18660 Bagley Road, Medical Bldg 2 Suite 304, Middleburg Hts, OH 44130 | 2014-01-22 |
| 1396057642 | Azalpreet Dhillon | Dentist | 18660 Bagley Road, Medical Arts Building 2 Suite 304, Middleburg Hts, OH 44130 | 2010-07-01 |
| 1982671186 | Natwarlal Jethva | Internal Medicine | 18660 Bagley Road, Suite 102 A, Middleburg Hts, OH 44130 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1487048617 | Juliette Yedimenko | Internal Medicine | 9500 Euclid Ave # A50, Cleveland, OH 44195-0001 | 2015-03-25 |
| 1740623628 | Licking Memorial Professional Corporation | Internal Medicine | 1272 West Main Street Bldg 2, Ste 4, Newark, OH 43055 | 2013-04-10 |
| 1790020501 | Bruce Wall | Internal Medicine | 700 Ackerman Rd Ste 580, Columbus, OH 43202-1589 | 2012-12-05 |
| 1942563218 | Beatrice Kenol | Internal Medicine | 3691 Ridge Mill Dr Fl 1, Hilliard, OH 43026-7752 | 2012-06-20 |
| 1902136443 | Thomas James Romano | Internal Medicine | 205 N 5th St, Martins Ferry, OH 43935-1530 | 2010-01-06 |
| 1295061224 | Robert V. Hemphill | Internal Medicine | 1241 Briarhill Spur, Akron, OH 44333 | 2009-10-27 |
| 1639317696 | Frederic Carl Bishko | Internal Medicine | 2679 Rocklyn Rd, Shaker Heights, OH 44122-2112 | 2009-01-29 |
| 1639332265 | Shailey Desai | Internal Medicine | 9500 Euclid Ave Desk A50, Cleveland, OH 44195 | 2008-07-03 |
| 1407049133 | May Azem | Internal Medicine | 7527 Fredle Dr, Concord Twp, OH 44077-9406 | 2007-08-27 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG HTS |
| Zip Code | 44130 |
Please comment or provide details below to improve the information on ISAM DIAB.
| 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.