WALID SAMAAN (NPI# 1093719502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093719502 |
| Entity Type | Individual |
| Full Name | WALID SAMAAN |
| Credential | M.D. |
| Practice Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 |
| Mailing Address |
2723 S 7th Street Suite A Terre Haute IN 47802-3558 |
| Practice Telephone | 3175284270 |
| Practice Fax Number | 3178658336 |
| Mailing Telephone | 8122381730 |
| Mailing Fax Number | 8122421565 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD449780 | PA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01042568A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35.060505 | OH | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD449780 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01042568 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000991174 | 01 |
| IN | 100360050A | 05 |
| Street Address |
1040 SIERRA DR SUITE 400 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-7240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245638600 | Teri Koch | Nurse Practitioner | 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 | 2014-12-16 |
| 1457633562 | St Francis Medical Group | Family Medicine | 1040 Sierra Dr, Greenwood, IN 46143-7240 | 2011-09-14 |
| 1750619243 | Scott Lanier Martin | Family Medicine | 1040 Sierra Dr, Ste 400, Greenwood, IN 46143-7240 | 2009-11-23 |
| 1306048160 | Jason Wayne Mccormick | Psychiatry & Neurology | 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 | 2007-06-04 |
| 1487727400 | Mohammad Shahid Kamal | Psychiatry & Neurology | 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1770823098 | Emergency and Critical Care Services LLC | Internal Medicine | 8965 Highway 79, Greenwood, LA 71033-2721 | 2013-02-22 |
| 1740248863 | Charles E.n. Kinsella | Internal Medicine | 1040 Greenwood Springs Blvd, Greenwood, IN 46143-7975 | 2006-05-01 |
| 1861488538 | Raymond E Lewis | Internal Medicine | 105 Vine Crest Ct #1000, Greenwood, SC 29646-8031 | 2005-09-27 |
| 1376041798 | Self Medical Group | Internal Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2018-01-31 |
| 1417348459 | Self Medical Group | Internal Medicine | 105 Vinecrest Ct # 1000, Greenwood, SC 29646-8031 | 2015-02-12 |
| 1780007047 | Greenwood Leflore Hosptial | Internal Medicine | 1401 River Rd, 2 East, Greenwood, MS 38930 | 2014-01-22 |
| 1801104559 | John Patrick Lim Tejada | Internal Medicine | 105 Vinecrest Ct # 1000, Greenwood, SC 29646-8031 | 2010-09-15 |
| 1689850422 | Sarfraz R Ahmad | Internal Medicine | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2008-01-10 |
| 1255311981 | Robert Stoke Daly | Internal Medicine | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2006-01-19 |
| 1174503650 | Manfred Paul Mueller | Internal Medicine | 701 E County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2006-01-19 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on WALID SAMAAN.
| 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.