LAITH ADLI AL BALBISSI (NPI# 1083878300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083878300 |
| Entity Type | Individual |
| Full Name | LAITH ADLI AL BALBISSI |
| Credential | MD |
| Practice Address |
7236 Stonerock Cir Orlando FL 32819-8000 |
| Practice Telephone | 3218416444 |
| Practice Fax Number | 4073705820 |
| Mailing Telephone | 3218416444 |
| Mailing Fax Number | 4073705820 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Q5612 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME145283 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 352164302 | 05 | |
| TX | 352164301 | 05 | |
| FL | 106291400 | 05 | |
| NM | 63075211 | 05 | |
| OK | 200606530 A | 05 |
| Street Address |
7236 STONEROCK CIR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184674244 | Joel Richard Garcia | Internal Medicine | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2006-05-11 |
| 1528603693 | Alicia Cherian Mohamed | Registered Nurse | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2019-11-13 |
| 1508427337 | William Carl Mackenzie | Physician Assistant | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2019-06-24 |
| 1013492453 | Mckenzie Layne Montgomery | Physician Assistant | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2018-10-02 |
| 1689927535 | Saba Ahmad | Internal Medicine | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2012-10-16 |
| 1407017957 | Neeraj R Bajaj | Internal Medicine | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2008-06-18 |
| 1679601751 | Orlando Regional Health Network | Psychiatry & Neurology | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1619194099 | Gerard Paul De Castro | Surgery | 13800 Veterans Way Dept Of, Orlando, FL 32827-7401 | 2007-04-19 |
| 1396826707 | Charles S. Garnette | Surgery | 7412 Docs Grove Cir, Orlando, FL 32819-8010 | 2006-10-19 |
| 1396724571 | Charles S. Thompson | Surgery | 80 W Michigan St, Orlando, FL 32806-4453 | 2006-01-16 |
| 1942288808 | Manuel Ramon Perez-izquierdo | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2006-01-02 |
| 1255331666 | Vascular Center of Orlando, P.a. | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2005-07-28 |
| 1891243051 | Vvc Viera LLC | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2016-09-16 |
| 1649665639 | Rachel Elizabeth Wilson | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2015-04-06 |
| 1629368030 | Mohammad Nabeel Abbasi | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2011-04-19 |
| 1740457365 | Edgar David Guzman Arrieta | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2008-05-13 |
| 1952571671 | David Varnagy | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2008-03-10 |
| Find all providers in ORLANDO | ||||
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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.