DR. EDMUND MARTIN BARBOUR (NPI# 1114039526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114039526 |
| Entity Type | Individual |
| Full Name | DR. EDMUND MARTIN BARBOUR |
| Credential | M.D. |
| Practice Address |
939 Mohawk St Dearborn MI 48124-1505 |
| Practice Telephone | 3135622247 |
| Practice Fax Number | 3137921846 |
| Mailing Telephone | 3135622247 |
| Mailing Fax Number | 3137921846 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
028846 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1051532 | 05 |
| Street Address |
939 MOHAWK ST |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1740610401 | Gastrofit Pllc | Internal Medicine | 23500 Park St Ste 2b, Dearborn, MI 48124-2598 | 2013-11-17 |
| 1730340357 | Aref Alrayes | Internal Medicine | 18100 Oakwood Blvd Ste 205, Dearborn, MI 48124-4085 | 2008-06-17 |
| 1043304116 | Mohammed A Arman | Internal Medicine | 17000 Executive Plaza Dr Ste 202, Dearborn, MI 48126-2793 | 2006-10-03 |
| 1639149610 | Charles R Slone | Internal Medicine | 2021 Monroe St, Suite 201, Dearborn, MI 48124-2926 | 2006-01-24 |
| 1619245461 | Jeffrey E. Puccio M.d., P.C. | Internal Medicine | 2021 Monroe St, Suite 101, Dearborn, MI 48124-2926 | 2011-12-08 |
| 1992090906 | Keith E. Mullins | Internal Medicine | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2011-06-17 |
| 1770889834 | Charles R. Slone, M.d., P.C. | Internal Medicine | 2021 Monroe St, Suite 201, Dearborn, MI 48124-2926 | 2011-02-07 |
| 1417145947 | Mohammed A. Arman M.d. PC | Internal Medicine | 17000 Executive Plaza Dr Ste 202, Dearborn, MI 48126-2793 | 2007-10-10 |
| 1104019231 | Anas Kutait | Internal Medicine | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2007-08-22 |
| 1629102934 | Dearborn Gastroenterology | Internal Medicine | 23601 Ford Rd, Dearborn, MI 48128-1227 | 2007-03-16 |
| Find all providers in DEARBORN | ||||
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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.