TASBIRUL ISLAM (NPI# 1154598563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154598563 |
| Entity Type | Individual |
| Full Name | TASBIRUL ISLAM |
| Credential | MD |
| Practice Address |
1500 Salem St Lafayette IN 47904-2164 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Practice Fax Number | 7654487631 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 50271 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01071307A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
50271 | WI | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01071307A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
50271 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201074340 | 05 | |
| WI | 35198100 | 05 | |
| IN | ANTHEM PIN NUMBER | 000000773728 | 01 |
| Street Address |
1500 SALEM ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448876 | Tamara Loewen Hazbun | Emergency Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2005-12-19 |
| 1801246467 | Jacqulyn Burgess | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2016-06-15 |
| 1942656186 | Amanda Dehne | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2016-05-06 |
| 1134527807 | Rebecca J Hauck | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2014-12-12 |
| 1679977128 | Michael E Criswell | Clinical Nurse Specialist | 1500 Salem St, Lafayette, IN 47904-2164 | 2014-10-13 |
| 1962840785 | Amy Sue Mclaughlin | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2013-06-14 |
| 1487920310 | Laurie L Lebegue | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2012-03-26 |
| 1356659403 | Leslie Anne Bentinganan | Family Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2010-09-22 |
| 1346413713 | Leslie E Harshman | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2008-04-08 |
| 1376715631 | Teri Anne Anderson | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2008-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1043280670 | Salim S Abou Jaoude | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-01-25 |
| 1992992440 | Catherine A Lazar | Internal Medicine | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-09-28 |
| 1669502423 | Esther H Lum | Internal Medicine | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-03-07 |
| 1073603155 | William G. Hutchison | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2006-10-13 |
| 1386655389 | Janice E Manjuck | Internal Medicine | 3687 Mt Diablo Blvd, Lafayette, CA 94549-3717 | 2006-08-11 |
| 1205855418 | Imad E. Khadra | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2006-07-19 |
| 1740208180 | Shahid Ahsan | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-17 |
| 1871527879 | Sean O'reilly | Internal Medicine | 280 Exempla Cir, Lafayette, CO 80026 | 2006-07-10 |
| 1073582623 | John Charles Scanlon | Internal Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2006-03-16 |
| 1174591580 | Muhammad I Ali | Internal Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2006-03-10 |
| Find all providers in LAFAYETTE | ||||
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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.