MIRZA KHALID M BAIG (NPI# 1194776377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194776377 |
| Entity Type | Individual |
| Full Name | MIRZA KHALID M BAIG |
| Credential | MD |
| Practice Address |
1206 E 9th St Ste 320 Lockport IL 60441-2404 |
| Practice Telephone | 7085754400 |
| Practice Fax Number | 7085754401 |
| Mailing Telephone | 7085754400 |
| Mailing Fax Number | 7085754401 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2013-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036065377 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PIN LOCALITY 16 | 534410551 | 01 |
| IL | MEDICARE PIN LOCALITY 15 | 534400452 | 01 |
| IL | GROUP NPI | 1700824455 | 01 |
| IL | GROUP TAX ID | 36-2169147 | 01 |
| Street Address |
1206 E 9TH ST STE 320 |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| 1528104007 | Charles Olick | Family Medicine | 5258 Mapleton Rd, Lockport, NY 14094-9293 | 2007-01-30 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1609959543 | Eastview Family Practice PC | Family Medicine | 294 East Avenue, Lockport, NY 14094 | 2006-10-23 |
| 1982628574 | Nicholas Varallo | Family Medicine | 670 Davison Road, Lockport, NY 14094-5338 | 2006-07-27 |
| 1639196421 | Frederick J Piwko | Family Medicine | 3805 Lockport Olcott Rd, Lockport, NY 14094-1128 | 2006-07-16 |
| 1861439879 | Patricia J Danaher | Family Medicine | 5949 Campbell Blvd, Lockport, NY 14094-9204 | 2006-05-31 |
| 1669427589 | Rajeswara Nagalla | Family Medicine | 131 East Ave, Lockport, NY 14094-3838 | 2006-05-23 |
| 1457315707 | Fiona C Halliday | Family Medicine | 5879 Snyder Dr, Lockport, NY 14094-9497 | 2006-04-13 |
| 1154381317 | Thomas Hughes | Family Medicine | 64 Davison Ct, Lockport, NY 14094-5370 | 2006-03-23 |
| Find all providers in LOCKPORT | ||||
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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.