DR. MOSTAFA FRAIG (NPI# 1083635098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083635098 |
| Entity Type | Individual |
| Full Name | DR. MOSTAFA FRAIG |
| Credential | MD |
| Practice Address |
Schneck Medical Center 411 West Tipton Street Seymour IN 47274 |
| Practice Telephone | 8125222349 |
| Practice Fax Number | 8125220129 |
| Mailing Telephone | 8125222349 |
| Mailing Fax Number | 8125220129 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
01082692A | IN | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
43544 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100230340 | 05 | |
| IN | 201153740 | 05 |
| Street Address |
SCHNECK MEDICAL CENTER 411 WEST TIPTON STREET |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659391209 | Jeffrey E Schulz | Surgery | Schneck Medical Center, 411 West Tipton Street, Seymour, IN 47274 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265843486 | Yu Yang | Pathology | 350 W 11th St Ste 4083, Indianapolis, IN 46202 | 2014-05-09 |
| 1841685765 | Snehal Shankar Sonawane | Pathology | 530 N Lafayette Blvd, South Bend, IN 46601-1004 | 2015-03-30 |
| 1891133724 | Natalia Rush | Pathology | 350 W 11th St, 4th Floor, Indianapolis, IN 46202-4108 | 2013-06-13 |
| 1699935510 | Andrea L Wiens | Pathology | 350 W 11th St, Indiana University Heatlh, Department of Pathology, Indianapolis, IN 46202-4108 | 2008-06-13 |
| 1922118900 | William Patrick O'neill | Pathology | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2006-08-30 |
| 1326151770 | Janet E Roepke | Pathology | 2401 W University Ave, Muncie, IN 47303-3428 | 2006-08-17 |
| 1467565838 | Thomas A Kocoshis | Pathology | 2401 W University Ave, Muncie, IN 47303-3428 | 2006-08-17 |
| 1205879913 | Lisa A Ostrowski | Pathology | 1007 Lincolnway, La Porte, IN 46352-0250 | 2006-06-13 |
| 1003862228 | Sonali Shukla | Pathology | 1007 Lincolnway, Laporte, IN 46350-3201 | 2006-05-26 |
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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.