ABANOUB RUSHDY (NPI# 1083011605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083011605 |
| Entity Type | Individual |
| Full Name | ABANOUB RUSHDY |
| Practice Address |
1818 E Windsor Rd Urbana IL 61802-9566 |
| Mailing Address |
9 E Taylor St Champaign IL 61820-4006 |
| Practice Telephone | 2172559580 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 125065852 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1818 E WINDSOR RD |
| City | URBANA |
| State | IL |
| Zip Code | 61802-9566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083675045 | Aimee C Yu-ballard | Internal Medicine | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2006-03-30 |
| 1265032221 | Lindsay Roberts | Nurse Practitioner | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2020-10-29 |
| 1134730310 | Whitney Waterman | Nurse Practitioner | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2020-08-12 |
| 1528617560 | Taryn A Rawdin | Nurse Practitioner | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2019-09-11 |
| 1376002816 | Romil N. Patel | Nurse Practitioner | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2019-03-14 |
| 1043736788 | Amy K O'dell | Nurse Practitioner | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2017-08-15 |
| 1194195842 | Karina Parke | Nurse Practitioner | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2015-10-06 |
| 1992174403 | John H Kim | Nurse Practitioner | 1818 E Windsor Rd, Family Medicine, Urbana, IL 61802-9566 | 2015-09-15 |
| 1215338215 | Paige Cler | Nurse Practitioner | 1818 E Windsor Rd, Geriatrics, Urbana, IL 61802-9566 | 2014-09-09 |
| 1700226982 | Katie Merib Bittner | Family Medicine | 1818 E Windsor Rd, Family Med, Urbana, IL 61802-9566 | 2013-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
| 1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
| 1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
| 1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1043478555 | Yongsoo Kwon | Surgery | 1800 Glenwood Oaks Ct, Urbana, IL 61801-6013 | 2008-05-30 |
| 1457527509 | Thomas Boenig | Surgery | 401 W. Park St.. #2, Urbana, IL 61801-1790 | 2008-05-07 |
| 1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
| 1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
| 1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
| 1831716406 | Kelly Sun Schulte | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
| 1821615618 | Meghan Merklein | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-29 |
| 1639795883 | Mohit Bhalla | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-23 |
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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.