DR. BASSEM I RAZZOUK (NPI# 1124021829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124021829 |
Entity Type | Individual |
Full Name | DR. BASSEM I RAZZOUK |
Credential | MD |
Practice Address |
2001 W 86th St Indianapolis IN 46260-1902 |
Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
Practice Telephone | 3173384673 |
Practice Fax Number | 3173383227 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2012-04-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
01063092A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 009913930 | 05 | |
IA | 0535740 | 05 | |
TX | 060502401 | 05 | |
MS | 00119428 | 05 | |
LA | 1550469 | 05 | |
OK | 100017620A | 05 | |
WY | 1135341 00 | 05 | |
KY | 64928971 | 05 | |
NC | 7611308 | 05 | |
SC | Q30048 | 05 | |
VA | 006737242 | 05 | |
MO | 205028707 | 05 | |
IN | 200179550A | 05 | |
TN | 3898886 | 05 | |
ME | 422400000 | 05 |
Street Address |
2001 W 86TH ST |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260-1902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881209294 | Jennifer L Maupin | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-09-11 |
1851904973 | Taylor Anne Vandervort | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-28 |
1437762796 | Casey Michelle O'neal | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-26 |
1396360590 | Kathleen Sue Lilegdon | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-06-12 |
1033732979 | Rachel Leigh Thelen | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-27 |
1942823976 | Shelby Nichole Preston | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-26 |
1396367165 | Gabrielle Ann Vickery | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-14 |
1154950798 | Kaylee Elizabeth Poole | Pharmacist | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-06 |
1326677014 | Julie Mary Bittar | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-03 |
1427687235 | Fawaz Hasnain | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881983625 | Jacquelyn Leigh Carter | Pediatrics | 705 Riley Hospital Dr Rm 4340, Indianapolis, IN 46202-5109 | 2011-04-01 |
1487692794 | John Randall Edwards | Pediatrics | 8111 S Emerson Ave Ste 207, Indianapolis, IN 46237-8601 | 2006-06-02 |
1275950438 | Jennifer Belsky | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2014-03-26 |
1942542253 | April Rahrig | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2013-03-25 |
1316205891 | Alex Herbert Lion | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202 | 2012-05-02 |
1396003273 | Daniel Vincent Runco | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-27 |
1730447038 | Cristiana Hentea | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2012-04-25 |
1891052171 | Miriam Grace Kim | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-11 |
1205192408 | Rachael Rae Schulte | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-02 |
1750651253 | Kristy L Pilbeam | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2011-12-31 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
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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.