AYMAN W EL-HATTAB (NPI# 1386942407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386942407 |
Entity Type | Individual |
Full Name | AYMAN W EL-HATTAB |
Credential | M.D. |
Practice Address |
402 N Keene St Ste 101 Columbia MO 65201-6986 |
Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
Practice Telephone | 5738826921 |
Practice Fax Number | 5738821154 |
Mailing Telephone | 5738826921 |
Enumeration Date | 2011-03-14 |
Last Update Date | 2011-08-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
N0747 | TX | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | N0747 | TX | Allopathic & Osteopathic Physicians |
Street Address |
402 N KEENE ST STE 101 |
City | COLUMBIA |
State | MO |
Zip Code | 65201-6986 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326036252 | Dawn Peck | Genetic Counselor, MS | 402 N Keene St, Suite 101, Columbia, MO 65201-6986 | 2005-10-13 |
1720649742 | Mackenzie Joy Giunio-zorkin | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2019-06-21 |
1861986218 | Jennifer Alice Mitchell | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2018-06-19 |
1457845810 | Taylor Kay Swanson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2018-06-19 |
1265926612 | Alex Richard Finlinson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2018-06-19 |
1285164756 | Marlana Michelle Mcdowell | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2017-06-15 |
1336679802 | Kirby Alyson Woodall | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2017-06-15 |
1700316270 | Stacey Gwen Johnson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2017-06-15 |
1912454364 | Marisa Maher | Nurse Practitioner | 402 N Keene St, Columbia, MO 65201-6986 | 2016-09-01 |
1417338211 | Stephanie Anne Johnson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2015-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
Find all providers in zip 65201 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376569681 | Kimberly A Martin | Medical Genetics | 1705 E Broadway Ste 300, Columbia, MO 65201-7167 | 2006-07-14 |
1477544112 | Randall S Colby | Medical Genetics | 115 Atrium Way, Suite 120, Columbia, SC 29223-6371 | 2005-11-02 |
1184615825 | Lola B Clarkson | Medical Genetics | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2005-11-02 |
1649488164 | Yuri A Zarate | Medical Genetics | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2007-05-18 |
1164518494 | Eloise J. Prijoles | Medical Genetics | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2006-10-05 |
1164432720 | Jerome L Gorski | Medical Genetics | 402 N Keene St, Ste 101, Columbia, MO 65201-6986 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447269444 | Gary S Gottesman | Medical Genetics | 4400 Clayton Ave, Research Center, Saint Louis, MO 63110-1624 | 2006-08-07 |
1295180867 | Catherine Gooch | Medical Genetics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-05-02 |
1780064378 | Katherine Barnes Abell | Medical Genetics | 1 Childrens Pl, Div Ped Cardiology, Saint Louis, MO 63110-1002 | 2015-06-09 |
1275910366 | Bonnie Rae Sullivan | Medical Genetics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2015-04-28 |
1952717902 | Jorge Luis Granadillo De Luque | Medical Genetics | 1 Childrens Pl, Suite 3s34, Saint Louis, MO 63110-1002 | 2014-07-09 |
1710116207 | Jennifer Michelle Heeley | Medical Genetics | 621 S New Ballas Rd, Suite 281a, Saint Louis, MO 63141-8232 | 2009-07-06 |
1700021706 | Shivarajan Manickavasagam Amudhavalli | Medical Genetics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-12-05 |
1225203672 | Beth Ann Kozel | Medical Genetics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2008-04-28 |
1780888644 | Patricia Irene Dickson | Medical Genetics | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2007-06-13 |
1053523845 | St Louis University | Medical Genetics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-05-04 |
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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.