DR. CHARBEL F MASKINY


Address: 621 Memorial Drive, Suite 512, South Bend, IN 46601-1074
Phone: 5742469350

DR. CHARBEL F MASKINY (NPI# 1093912180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093912180
Entity Type Individual
Full Name DR. CHARBEL F MASKINY
Credential MD
Practice Address 621 Memorial Drive
Suite 512
South Bend
IN 46601-1074
Practice Telephone 5742469350
Practice Fax Number 5742469376
Mailing Telephone 5742469350
Mailing Fax Number 5742469376
Enumeration Date 2007-07-02
Last Update Date 2013-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
01071462A IN Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
01071462A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201121390 05
IN ANTHEM BCBS 000000778584 01

Office Location

Street Address 621 MEMORIAL DRIVE
SUITE 512
City SOUTH BEND
State IN
Zip Code 46601-1074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578547402 Ismail Al-ani Specialist 621 Memorial Drive, Suite512, South Bend, IN 46601-1074 2005-12-05
1578756060 Thomas R Gruszynski Md Inc Obstetrics & Gynecology 621 Memorial Drive, Suite 616, South Bend, IN 46601 2007-08-20
1124141346 Pulmonary & Critical Care Associates, PC Specialist 621 Memorial Drive, Suite 512, South Bend, IN 46601-1074 2007-04-10
1629052543 Matthew Francis Koscielski Specialist 621 Memorial Drive, Suite 512, South Bend, IN 46601-1074 2005-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447610449 David Thomas Hearing Instrument Specialist 808 S Michigan St., South Bend, IN 46601 2016-03-03
1285072454 Kevin Francis Cumper Internal Medicine 621 Memorial Dr Ste 624, South Bend, IN 46601 2013-06-11
1952605560 Robert Lusk Bonham Dentist 1222 L.w.e., So. Bend, IN 46601 2010-12-23
1649580911 Daniel Scott Debrule Psychologist 211 W. Washington Street, Suite 2311, South Bend, IN 46601 2010-10-20
1528390770 Luke Alfred White Internal Medicine 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 2010-02-12
1548497837 Tmg Home Health Care Home Health 108 N Main St #305, South Bend, IN 46601 2009-06-15
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1740432574 Amanda Jayne Quicksall Social Worker 611 Lincolnway W, South Bend, IN 46601 2008-10-10
1952565772 Thomas P Judd Dentist 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 2008-07-10
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508048752 Thomas P Bathrick Do, PC Internal Medicine 1432 Lincoln Way E, South Bend, IN 46613-3205 2007-11-29
1184722076 Gary B Fromm Internal Medicine 615 N Michigan St, Medical Education Dept Memorial Hospital, South Bend, IN 46601 2006-09-21
1285646711 Thomas Palmer Bathrick Internal Medicine 1432 Lincoln Way E, South Bend, IN 46613-3205 2006-08-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649640202 Bkrd, Inc Internal Medicine 302 Garden Trl, Michigan City, IN 46360-2710 2015-09-25
1053744367 Jagadeesh Yella Internal Medicine 1400 N Ritter Ave Ste 375, Indianapolis, IN 46219-3049 2013-08-11
1114367067 Fouad Kutuby Internal Medicine 8840 Calumet Ave Ste 206, Munster, IN 46321-2546 2013-06-25
1235481755 Dedrick K. Bowe Internal Medicine 800 Broadway Ste 204, Fort Wayne, IN 46802-2149 2012-10-08
1871856351 Muhammad J Habib Internal Medicine 355 Westfield Rd Ste 114, Noblesville, IN 46060-1442 2012-06-20
1629356332 Sangeeth Rao Dubbireddi Internal Medicine 1801 N Senate Ave Ste 2000, Indianapolis, IN 46202 2011-07-29
1972894087 Amanpreet Kaur Internal Medicine 3500 N Franciscan Way, Ste 400, Michigan City, IN 46360-0021 2011-04-22
1164735692 Edgardo Manuel Flores Anticona Internal Medicine 2101 Jackson St Ste 110, Anderson, IN 46016-4386 2010-07-26
1598986713 Eugene C Fletcher Md LLC Internal Medicine 428 Vincennes St, New Albany, IN 47150-3054 2007-05-02
1912032434 Brian Allen Youn Internal Medicine 821 S Scott Rd, Fort Wayne, IN 46814-9398 2007-02-23
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City SOUTH BEND
Zip Code 46601

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Dataset Information

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.

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