I HENAWI MD INC (NPI# 1144557539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144557539 |
Entity Type | Organization |
Organization Name | I HENAWI MD INC |
Practice Address |
4020 W Florida Ave Hemet CA 92545-5279 |
Practice Telephone | 9517655000 |
Practice Fax Number | 9516580237 |
Mailing Telephone | 9517655000 |
Mailing Fax Number | 9516580237 |
Enumeration Date | 2009-11-06 |
Last Update Date | 2010-06-11 |
Authorized Official Name | DR. I HENAWI (OWNER) |
Authorized Official Telephone | 9517655000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | A62143 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1144557539 | 05 | |
CA | PROVIDER NUMBER | CS602A | 01 |
Street Address |
4020 W FLORIDA AVE |
City | HEMET |
State | CA |
Zip Code | 92545-5279 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255328886 | Heather L Hicks | Family Medicine | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2005-09-29 |
1063054658 | Anchor Hospice LLC | Hospice Care, Community Based | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2019-10-15 |
1457626061 | Julie Ann Smith-clark | Nurse Practitioner | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2012-03-14 |
1982871455 | Senior First Medical Clinic, Inc | Family Medicine | 4020 W Florida Ave, Suite H, Hemet, CA 92545-5279 | 2008-05-13 |
1154516664 | Apex Healthcare Medical Center, Inc | Specialist | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2007-09-07 |
1649463910 | Ear Kitt Hearing Aids Services Inc | Hearing Instrument Specialist | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2007-08-21 |
1497873632 | Matthew Taylor Wayment | Student in an Organized Health Care Education/Training Program | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2007-03-26 |
1861546681 | Larry C Hughes Md Inc A Medical Corporation | Family Medicine | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2007-01-22 |
1417033291 | Larry C Hughes | Family Medicine | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2006-10-27 |
1679659254 | Maryann Savory | Nurse Practitioner | 4020 W Florida Ave, Hemet, CA 92545-5279 | 2006-10-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922612449 | Curtis Eugene Dossmcdaniel IIi | Dental Assistant | 3027 W Flordia Ave, Hemet, CA 92545 | 2020-09-02 |
1780206565 | Kevin Michael Brown Chiropractic Corp | Physical Therapist | 2940 W. Floria Ave., Suite B, Hemet, CA 92545 | 2020-05-14 |
1093341455 | Rainbow View Senior Care Lpa, LLC | Assisted Living Facility | 4170 Rainbow View Way, Hemet, CA 92545 | 2020-03-18 |
1265082408 | Laura Artechi | Technician | 422 Callle Fortuna, Hemet, CA 92545 | 2019-09-19 |
1134781503 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3603 W. Flordia Ave., Hemet, CA 92545 | 2019-07-05 |
1447781083 | Jessica Marie Celis | Behavior Technician | 632 San Marino St, Hemet, CA 92545 | 2017-03-24 |
1902270507 | Hany Mohamed Dawoud Soliman | Dentist | 3027 W.florida Ave., Hemet, CA 92545 | 2015-11-19 |
1235502832 | Emelita Morales Price | Nursing Home Administrator | 2771 Cambridge Ave, Hemet, CA 92545 | 2015-11-04 |
1669845475 | Mohamed Khalaf | Pharmacist | 260n Sanderson, Hemet, CA 92545 | 2015-11-03 |
1730477019 | Mercy Air Service Inc | Ambulance | 1035 S Cawston Ave, Hemet, CA 92545 | 2011-07-20 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1023234812 | Iglal El Henawi | General Practice | 4020 W. Florida Ave, Hemet, CA 92545-5279 | 2007-04-18 |
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1417053844 | Jahanguir Haj-aliloo | General Practice | 995 Saint John Pl, # A, Hemet, CA 92543-4436 | 2006-09-15 |
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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.