DR. HUSAM BAKI (NPI# 1316129695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316129695 |
Entity Type | Individual |
Full Name | DR. HUSAM BAKI |
Other Name | DR. HUSAM ABDULBAKI |
Credential | M.D. |
Practice Address |
616 E 13th St Winamac IN 46996 |
Mailing Address |
50925 Safari Dr Granger IN 46530-6737 |
Practice Telephone | 5749462104 |
Mailing Telephone | 3124514630 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2019-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 01056375A | IN | Allopathic & Osteopathic Physicians |
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
01056375A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | BCBS | 000000940640 | 01 |
IN | 200383950 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
611 E Douglas Rd, Suite 309, Mishawaka, IN 465451464 | 5743356232 | 5743350776 |
Street Address |
616 E 13TH ST |
City | WINAMAC |
State | IN |
Zip Code | 46996 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952395527 | Brian Matthew Pilarski | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2005-09-09 |
1730686114 | Rebecca Marie Jernstrom | Nurse Practitioner | 616 E 13th St, Winamac, IN 46996-1117 | 2018-04-11 |
1447546031 | Melissa D Zahrt | Family Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2011-06-22 |
1457688376 | Alice Paulsen | Occupational Therapist | 616 E 13th St, Winamac, IN 46996-1117 | 2009-11-13 |
1033363353 | Winamac Emergency Physicians LLC | Emergency Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2008-11-13 |
1053580076 | Terry M Weaver | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2008-02-24 |
1164601142 | Rebecca Sue Dilts | Speech-Language Pathologist | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-26 |
1407044506 | Lori Lynn Semrau | Occupational Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-15 |
1205024312 | Holly Tolzin | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-15 |
1144418351 | Ryan Lee Pettet | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
1376976571 | Ourhealth Physician Group, LLC | Clinic/Center | 144 S. County Road 100 W, Winamac, IN 46996 | 2013-08-12 |
1316078520 | Eastern Pulaski Community School Corporation | Local Education Agency (LEA) | 711 School Drive, Winamac, IN 46996 | 2007-03-08 |
1649288689 | Goble Heal Chiropractic PC | Chiropractor | 116 E Pearl Street, Winamac, IN 46996 | 2006-08-04 |
1841832888 | Safeguard Joy LLC | In Home Supportive Care | 8111 W 400 S, Winamac, IN 46996 | 2019-10-10 |
1568958239 | John Paul Wunderlich | Counselor | 118 N Sally Dr, Winamac, IN 46996 | 2018-07-06 |
1770839797 | Catherine Dywan | Social Worker | 540 Hospital Dr, Winamac, IN 46996 | 2012-07-27 |
1013062686 | Clinton L. Kauffman | Family Medicine | 540 Hospital Dr, Winamac, IN 46996 | 2007-01-24 |
1750451811 | Frank A Utes | Family Medicine | 525 E Thirteenth St, Winamac, IN 46996-0186 | 2006-11-08 |
1285751040 | Mary Lynn Scheffer | Physical Therapist | 504 N Keller St, Winamac, IN 46996-1058 | 2007-03-24 |
Find all providers in zip 46996 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992229199 | Baki.l.l.c | Internal Medicine | 786 Mccool Rd Ste 6, Valparaiso, IN 46385-8894 | 2017-07-29 |
1043339005 | Joseph Nelson Gaddy | Internal Medicine | 2525 N Shadeland Ave, Suite105, Indianapolis, IN 46219-1787 | 2007-03-28 |
1780669374 | Douglas A. Neeld | Internal Medicine | 3828 New Vision Drive, Fort Wayne, IN 46845 | 2005-12-07 |
1679781314 | Southside Pulmonary & Sleep Consultants, LLC | Internal Medicine | 1040 Greenwood Springs Blvd, Greenwood, IN 46143-7975 | 2007-05-18 |
1962586198 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1739 N 4th St, Terre Haute, IN 47804-4002 | 2006-10-24 |
1932299633 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 700 S Main St, Clinton, IN 47842-2420 | 2006-10-13 |
1023107869 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 4601 S 7th St, Terre Haute, IN 47802-4522 | 2006-10-12 |
1013025097 | Diane Jordan-wagner | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47804-1037 | 2006-08-29 |
1578529046 | William H Baker | Internal Medicine | 550 University Blvd, 111p, Indianapolis, IN 46202-5149 | 2006-04-25 |
1447229380 | Pulmonary Asthma & Allergy Consults | Internal Medicine | 2510 E Dupont Rd, Ste 200, Fort Wayne, IN 46825 | 2006-03-14 |
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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.