LUAY D AILABOUNI


Address: 1100 Goethals Drive, 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352-3304
Phone: 5099423185

LUAY D AILABOUNI (NPI# 1114186459) 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) 1114186459
Entity Type Individual
Full Name LUAY D AILABOUNI
Credential MD
Practice Address 1100 Goethals Drive, 2nd Floor
Kadlec Clinic General & Colorectal Surgery
Richland
WA 99352-3304
Mailing Address 560 Gage Blvd
Suite 203
Richland
WA 99352-8650
Practice Telephone 5099423185
Practice Fax Number 5099461850
Mailing Telephone 5099423627
Mailing Fax Number 5099422268
Enumeration Date 2008-06-02
Last Update Date 2017-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery MD60323856 WA Allopathic & Osteopathic Physicians
Y 208C00000X Colon & Rectal Surgery MD30623856 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA L&I 0310710 01
WA 1114186459 05
OR 500655571 05

Office Location

Street Address 1100 GOETHALS DRIVE, 2ND FLOOR
KADLEC CLINIC GENERAL & COLORECTAL SURGERY
City RICHLAND
State WA
Zip Code 99352-3304

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1164089934 Tri-city Orthodontics, LLC Dentist 3200 Duportail St, Ste 203, Richland, WA 99352 2019-05-28
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1528566981 Rxltc, Pllc Pharmacy 969 Stevens Dr Ste 1b, Richland, WA 99352 2018-01-31
1154829992 Jason Brody Anderson Registered Nurse 888 Swift Blvd # 180, Richland, WA 99352 2018-01-26
1093247355 Anderson Mcgilliard Physical Therapist 875 Gage Blvd, Richland, WA 99352 2017-03-28
1871042689 Jennifer Bramhall Nurse Practitioner 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 2016-09-22
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619049616 James C.s. Colquhoun Colon & Rectal Surgery 5515 S Custer Rd, Spokane, WA 99223-1628 2006-11-14
1053332098 Mitra Ehsan Colon & Rectal Surgery 1231 116th Ave Ne Ste 535, Bellevue, WA 98004-3804 2006-07-23
1740226570 Joshua Eric Levin Colon & Rectal Surgery 3124 S 19th St Ste 220, Tacoma, WA 98405-2433 2006-06-21
1578528519 Richard Parker Billingham Colon & Rectal Surgery 1101 Madison St Ste 500, Seattle, WA 98104-3557 2006-04-20
1972584936 Phillip A Dean Colon & Rectal Surgery 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 2005-11-08
1235524703 Crystal Pickeral Koerner Colon & Rectal Surgery 1101 Madison St Ste 500, Seattle, WA 98104-3557 2015-04-01
1598054355 Ulrik Georg Wallin Colon & Rectal Surgery 1145 Broadway, Seattle, WA 98122-4201 2011-04-01
1073839965 Laila Rashidi Colon & Rectal Surgery 3124 S 19th St Ste C220, Tacoma, WA 98405-2481 2010-04-16
1245566348 Kitsap Colorectal Surgery Inc Ps Colon & Rectal Surgery 2528 Wheaton Way, Suite 103, Bremerton, WA 98310-3305 2009-10-23
1699918169 Ian R White Colon & Rectal Surgery 1135-116th Avenue Ne, Suite 550, Bellevue, WA 98004 2009-04-14
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City RICHLAND
Zip Code 99352

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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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