OMAR MOSTAFA ABUZEID (NPI# 1174900120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174900120 |
| Entity Type | Individual |
| Full Name | OMAR MOSTAFA ABUZEID |
| Practice Address |
1001 Main St Fl 2 Dyer IN 46311-1235 |
| Mailing Address |
5625 Woodfield Pkwy Grand Blanc MI 48439-9427 |
| Practice Telephone | 2198365512 |
| Mailing Telephone | 3138707294 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01081995A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300028266 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19 Lyons Ct, Dearborn, MI 481264171 | 3138707294 |
| Street Address |
1001 MAIN ST FL 2 |
| City | DYER |
| State | IN |
| Zip Code | 46311-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255646055 | Padmaja Venkata Sanaka | Obstetrics & Gynecology | 2150 Gettler St Ste 260, Dyer, IN 46311-2380 | 2010-08-17 |
| 1578879094 | Roman Puliaev | Obstetrics & Gynecology | 2150 Gettler St Ste 260, Dyer, IN 46311-2381 | 2010-08-20 |
| 1518160720 | Rajul Kothari | Obstetrics & Gynecology | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2007-06-06 |
| 1245323856 | Anthony Nicholas Gentile | Obstetrics & Gynecology | 1001 Main St, Suite 2e, Dyer, IN 46311-1234 | 2006-10-02 |
| 1689634750 | Marc Hamburg | Obstetrics & Gynecology | 919 Main St, Ste 101, Dyer, IN 46311-3717 | 2006-03-24 |
| 1871587493 | Howard O Grundy | Obstetrics & Gynecology | 24 Joliet St, Dyer, IN 46311-1705 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815885 | Candice Marie Miles | Obstetrics & Gynecology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-03-09 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1417458225 | Arthur Galstian Md LLC | Obstetrics & Gynecology | 9240 N Meridian St Ste 180, Indianapolis, IN 46260-2065 | 2018-02-27 |
| 1225537319 | Jeannette Colon, M.d., P.C. | Obstetrics & Gynecology | 401 Wall St Unit A, Valparaiso, IN 46383-2585 | 2018-02-05 |
| 1497105761 | Jonathan Alford | Obstetrics & Gynecology | 4660 E 146th Street, Suite 100, Noblesville, IN 46060 | 2016-06-17 |
| 1598113458 | Zachary Christopher Dobbin | Obstetrics & Gynecology | 10215 Broadway Ste 207, Crown Point, IN 46307-8001 | 2016-06-01 |
| 1821446774 | Jessica Mae Healey | Obstetrics & Gynecology | 1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085 | 2016-06-01 |
| 1801240775 | Bridget Marie Kennedy | Obstetrics & Gynecology | 225 S Emmons St, Denver, IN 46926-2300 | 2016-04-18 |
| 1013370485 | Ashley Seidner | Obstetrics & Gynecology | 395 Westfield Rd # B, Noblesville, IN 46060-1425 | 2016-04-01 |
| 1508237272 | Columbus Regional Health Physicians, LLC | Obstetrics & Gynecology | 2450 Northpark Dr, Suite A, Columbus, IN 47203-2292 | 2015-10-07 |
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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.