HASAN M QUTOB (NPI# 1154480499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154480499 |
| Entity Type | Organization |
| Organization Name | HASAN M QUTOB |
| Practice Address |
817 W High St Jackson MI 49203-2986 |
| Mailing Address |
Po Box 71 Jackson MI 49204-0071 |
| Practice Telephone | 7346049626 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-12-26 |
| Authorized Official Name | HASAN M QUTOB (OWNER) |
| Authorized Official Telephone | 7346049626 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301070269 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
817 W HIGH ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871559666 | Elliot Hardy | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2006-04-21 |
| 1043508674 | Tate Tatro | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2011-07-18 |
| 1639472962 | Gloria J Smith | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2010-12-08 |
| 1114245982 | Family Services & Children's Aid | Community/Behavioral Health | 817 W High St, Jackson, MI 49203-2986 | 2010-05-04 |
| 1891812467 | Christina Martoia | Counselor | 817 W High St, Jackson, MI 49203-2986 | 2007-03-26 |
| 1063546661 | Carrie Matson | Counselor | 817 W High St, Jackson, MI 49203-2986 | 2007-03-15 |
| 1285793521 | Hasan M Qutob | Internal Medicine | 817 W High St, Jackson, MI 49203-2986 | 2006-12-06 |
| 1518900323 | Lori Ann Holleque | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2006-06-13 |
| 1124061825 | Bunee Price Morrison | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2006-06-13 |
| 1497711667 | Jane Grover | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1740549864 | Soemiwati Weidris Holland | Internal Medicine | 27 S Cooks Bridge Rd Ste 2-5, Jackson, NJ 08527-2524 | 2012-05-09 |
| 1275543175 | Clemente V. Zulueta, Jr., Md, Pllc | Internal Medicine | 95 Jackson Hts, Ste 201, Jackson, KY 41339-6500 | 2006-08-09 |
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1790222651 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1134671787 | Jackson Thyroid & Endocrine Clinic Pllc | Internal Medicine | 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 | 2016-10-31 |
| 1154733392 | Jamie L Brewer | Internal Medicine | 971 Lakeland Dr, Suite 450, Jackson, MS 39216-4643 | 2014-05-22 |
| 1841601861 | Adrienne Webb Maier | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2014-05-13 |
| 1033494372 | Leap One Enterprise Pllc | Internal Medicine | 5160 Galaxie Dr, Jackson, MS 39206-4308 | 2011-10-19 |
| 1356638845 | Christina C. Glover | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2011-07-05 |
| 1023323029 | Vanessa L. Sandifer, M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 | 2010-08-13 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on HASAN M QUTOB.
| 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.