DR. IBRAHIM HEIBA (NPI# 1356520845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356520845 |
| Entity Type | Individual |
| Full Name | DR. IBRAHIM HEIBA |
| Credential | MD, MPH |
| Practice Address |
200 S Wilcox Dr Bldg 215 Kingsport TN 37662 |
| Mailing Address |
200 S Wilcox Dr Bldg 215, Po Box 1975 Medical Dept Kingsport TN 37662 |
| Practice Telephone | 4232295448 |
| Practice Fax Number | 4232291684 |
| Mailing Telephone | 4232295448 |
| Mailing Fax Number | 4232291684 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
27823 | SC | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
36260 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
200 S WILCOX DR BLDG 215 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114178423 | Emma Jane Orr | Pharmacist | 135 West Ravine Road, Wellmont Holston Valley Medical Center Inpatient Pharm., Kingsport, TN 37662 | 2008-10-06 |
| 1780628891 | Michael L Bacon | Emergency Medicine | 130 West Ravine Road, Kingsport, TN 37662 | 2006-06-16 |
| 1487771143 | Alicia Michelle Greer | Physical Therapy Assistant | 130 Ravine Rd, Kingsport, TN 37662 | 2007-03-26 |
| 1407982440 | Betty H Welch | Physical Therapist | 130 West Ravine Road, Kingsport, TN 37662 | 2007-02-26 |
| 1982634440 | Wellmont Health System, Inc | Emergency Medicine | 130 W Ravine Rd, Kingsport, TN 37662 | 2006-07-03 |
| 1245274430 | William E Devens Jr. | Emergency Medicine | 130 W Ravine Rd, Kingsport, TN 37662 | 2006-06-16 |
| 1063456291 | William D Hudson | Emergency Medicine | 130 W Ravine Rd, Kingsport, TN 37662 | 2006-06-16 |
| 1063630978 | Bruce James Poitrast | Preventive Medicine | 200 S. Wilcox Dr., B-215, Kingsport, TN 37662-5431 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1386241800 | Melinda Ruth Hite | In Home Supportive Care | 2006 E Center St, Kingsport, TN 37664-2615 | 2020-10-07 |
| 1104433630 | Appalachian Pediatric Therapy, LLC | Behavioral Analyst | 5400 Fort Henry Dr Ste 12, Kingsport, TN 37663-5304 | 2020-09-29 |
| 1124634126 | Michael Haun | Chiropractor | 2105 E Center St Ste C, Kingsport, TN 37664-2664 | 2020-09-16 |
| 1033723499 | Courtney Lahatte Blankenship | Dentist | 116 Jack White Dr Ste 12, Kingsport, TN 37664-2379 | 2020-09-03 |
| 1932712528 | Shaylynn Hooper | Speech-Language Pathologist | 1076 Centerbrook Cir, Kingsport, TN 37663-2808 | 2020-08-25 |
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1316563455 | Kathleen Barksdale Beine | Family Medicine | 4515 Brookridge Dr, Kingsport, TN 37664-2105 | 2020-06-24 |
| 1467076158 | Jon Wirshels | Registered Nurse | 608 Montezuma Rd, Kingsport, TN 37664-4247 | 2020-05-29 |
| Find all providers in KINGSPORT | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467640375 | Theron Blickenstaff | Preventive Medicine | 709 Clandon Dr, Kingsport, TN 37660-5036 | 2007-10-05 |
| 1063630978 | Bruce James Poitrast | Preventive Medicine | 200 S. Wilcox Dr., B-215, Kingsport, TN 37662-5431 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356706873 | Steven Serra | Preventive Medicine | 4957 Tyne Ridge Ct, Nashville, TN 37220-1531 | 2015-12-28 |
| 1811383698 | Robin Richard | Preventive Medicine | 9114 Brentmeade Blvd, Brentwood, TN 37027-8524 | 2015-04-08 |
| 1225472582 | Richard Daniel Price | Preventive Medicine | 1005 Dr. D.b.todd Blvd., Meharry Medical College, Nashville, TN 37208 | 2013-04-17 |
| 1730422031 | Saul Antonio Juliao | Preventive Medicine | 609 Granny White Pike, Brentwood, TN 37027-5732 | 2013-04-04 |
| 1720341191 | Otis Cosby Jr. | Preventive Medicine | 9818 Christi Ridge Way, Knoxville, TN 37931-3828 | 2012-06-20 |
| 1245405620 | Jorge Benitez Jr. | Preventive Medicine | 1005 Dr. D. B. Todd Jr Blvd, Nashville, TN 37208 | 2008-04-25 |
| 1932221827 | Carol J Iddins | Preventive Medicine | 1299 Bethel Valley Rd, Box 117 Reacts, Oak Ridge, TN 37830-8007 | 2007-04-04 |
| 1467571216 | Martha Y Walkup | Preventive Medicine | 1578 N Greenhill Rd, Mount Juliet, TN 37122-2454 | 2007-03-29 |
| 1972641074 | Marc Robert Watkins | Preventive Medicine | 315 14th Ave N, Nashville, TN 37203-3416 | 2007-02-01 |
| 1548373152 | Richard Mark Lachiver | Preventive Medicine | 1860 Westbury Ct, Brentwood, TN 37027-8148 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
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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.