MUHIYUDDIN KHALID (NPI# 1184715062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184715062 |
| Entity Type | Individual |
| Full Name | MUHIYUDDIN KHALID |
| Credential | MD |
| Practice Address |
1512 N Green Mount Rd Ste 109 O Fallon IL 62269 |
| Practice Telephone | 6186223450 |
| Practice Fax Number | 6186223468 |
| Mailing Telephone | 6186223450 |
| Mailing Fax Number | 6186223468 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1512 N GREEN MOUNT RD STE 109 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787040 | Dorrie C Tredway | Family Medicine | 1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269-2083 | 2005-08-15 |
| 1487142022 | Vituity - Illinois Auc LLP | Emergency Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269 | 2018-04-30 |
| 1295239747 | Chandler Sparks | Student in an Organized Health Care Education/Training Program | 1512 N Green Mount Rd, O Fallon, IL 62269-2083 | 2018-03-20 |
| 1649660200 | Tara Topper | Nurse Practitioner | 1512 N Green Mount Rd, O Fallon, IL 62269-1953 | 2015-02-03 |
| 1851715692 | Infinity-meds LLP | Emergency Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269-1953 | 2014-02-14 |
| 1639319387 | David Edward Bereda | Family Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269-2083 | 2009-02-20 |
| 1790945103 | Ob Gyn Care LLC | Surgery | 1512 N Green Mount Rd, Suite 107, O Fallon, IL 62269-1953 | 2008-06-10 |
| 1053587402 | Amy Marie Buck | Nurse Practitioner | 1512 N Green Mount Rd, Suite 200, O Fallon, IL 62269-1953 | 2008-05-06 |
| 1932377249 | Stephen Jubinski Jr. | Family Medicine | 1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269-1953 | 2008-02-20 |
| 1003091570 | St. Elizabeth Hospital | Clinic/Center | 1512 N Green Mount Rd, Suite 200, O Fallon, IL 62269-1953 | 2008-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1417307505 | Kent Alexander Neil Cassmeyer | Internal Medicine | 300 Winding Woods Dr Ste 214, O Fallon, MO 63366-4773 | 2016-06-20 |
| 1245453844 | Amy Kathleen Davis | Internal Medicine | 1008 Rock Creek Elementary School Dr, O Fallon, MO 63366-7576 | 2007-04-11 |
| 1124166434 | Progress West Healthcare Center | Internal Medicine | Two Progress Point Parkway, O Fallon, MO 63368 | 2007-02-01 |
| 1689640609 | Geraldine A. Ryan | Internal Medicine | 9426 Phoenix Village Pkwy, O Fallon, MO 63368-4781 | 2006-02-28 |
| 1750377941 | Gregory P Genova | Internal Medicine | 5551 Winghaven Blvd Ste 250, O Fallon, MO 63368-3630 | 2005-09-22 |
| 1720587918 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-02-02 |
| 1154777597 | Isaac Tran | Internal Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2016-05-04 |
| 1396142139 | Pc Associates, LLC | Internal Medicine | 310 N Seven Hills Rd, O Fallon, IL 62269-4111 | 2014-11-21 |
| 1295155000 | Genevieve Catherine Matthews | Internal Medicine | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207 | 2014-04-18 |
| 1326380908 | Seema Verma | Internal Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269 | 2013-03-21 |
| Find all providers in O FALLON | ||||
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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.