MAZEN ALAKHRAS (NPI# 1285617803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285617803 |
| Entity Type | Individual |
| Full Name | MAZEN ALAKHRAS |
| Credential | MD |
| Practice Address |
2708 Ferry St Lafayette IN 47904 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 7654461571 |
| Practice Fax Number | 7654473068 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01054848A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
46921 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000623110 | 01 |
| IN | 200948240 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Salem St, Lafayette, IN 479042164 | 7654488000 | 7654487631 |
| Street Address |
2708 FERRY ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982270 | Shana Moreno | Nurse Practitioner | 2708 Ferry St, Lafayette, IN 47904-3021 | 2020-08-17 |
| 1558980565 | Shaun Kelli Chalfant | Registered Nurse | 2708 Ferry St, Lafayette, IN 47904-3021 | 2020-04-09 |
| 1528616513 | Kerri Rene Dexter | Registered Nurse | 2708 Ferry St, Lafayette, IN 47904-3021 | 2019-09-03 |
| 1588017560 | Komivi Womitso | Family Medicine | 2708 Ferry St, Lafayette, IN 47904-3021 | 2016-07-14 |
| 1912365131 | Lindsay Michelle Vanlaere | Nurse Practitioner | 2708 Ferry St, Lafayette, IN 47904-3021 | 2016-02-02 |
| 1609057769 | Brooke Ellen Pletcher | Family Medicine | 2708 Ferry St, Lafayette, IN 47904-3021 | 2007-11-16 |
| 1578671236 | Juliana Rae Gaeta | Family Medicine | 2708 Ferry St, Lafayette, IN 47904-3021 | 2006-08-25 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1770872616 | Gbr, LLC | Internal Medicine | 155 Hospital Dr. Ste 101, Lafayette, LA 70503 | 2011-03-31 |
| 1568492536 | Philip S. Perret, M.d., Apmc | Internal Medicine | 614 W Saint Mary Blvd, Lafayette, LA 70506-3538 | 2006-07-04 |
| 1265428585 | Richard Hsin Fei | Internal Medicine | 4811 Ambassador Caffery Pkwy, Suite 305, Lafayette, LA 70508-7265 | 2005-09-22 |
| 1699761056 | Fadi Yosef Malek | Internal Medicine | 227 Bendel Rd, Lafayette, LA 70503-2903 | 2005-09-21 |
| 1841286200 | Bendel Medical Associates, LLC | Internal Medicine | 227a Bendel Rd, Lafayette, LA 70503-2903 | 2005-09-21 |
| 1093915894 | Philip S Perret | Internal Medicine | 614 W Saint Mary Blvd, Lafayette, LA 70506-3538 | 2007-07-19 |
| 1356478309 | William V Kinnard | Internal Medicine | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-27 |
| 1477697266 | Patricia Sato | Internal Medicine | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-16 |
| 1518035104 | Ewing Cook | Internal Medicine | 5000 Ambassador Caffery, Province Bldg. 14-a, Lafayette, LA 70508 | 2006-12-01 |
| 1760471197 | Timothy C Keys | Internal Medicine | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2005-10-18 |
| 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.