ANAN BASSAM AFANEH (NPI# 1407167273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407167273 |
Entity Type | Individual |
Full Name | ANAN BASSAM AFANEH |
Credential | M.D. |
Practice Address |
6905 E 96th St Ste 300 Indianapolis IN 46250-4456 |
Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
Practice Telephone | 3176211510 |
Practice Fax Number | 3176211511 |
Enumeration Date | 2010-06-28 |
Last Update Date | 2020-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
01084594A | IN | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
2014030565 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300043555 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
100 Mercy Way, Ste 530, Joplin, MO 648044524 | 4175565210 | 4175565211 |
Street Address |
6905 E 96TH ST STE 300 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46250-4456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629586714 | Amanda Metzger | Social Worker | 6905 E 96th St Ste 300, Indianapolis, IN 46250 | 2018-01-11 |
1083141378 | Shaunna Norris | Social Worker | 6905 E 96th St Ste 300, Indianapolis, IN 46250-4456 | 2017-05-17 |
1265732424 | Melissa Helene Nulton | Social Worker | 6905 E 96th St Ste 300, Indianapolis, IN 46250 | 2010-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
Find all providers in zip 46250 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1053598896 | Tracy M. Brenner | Internal Medicine | 8902 N Meridian St #210, Indianapolis, IN 46260-5307 | 2008-01-23 |
1538225487 | Kimberly Shaw Lamberson | Internal Medicine | 1001 West 10th Street, Wishard Hospital, Indianapolis, IN 46202 | 2006-12-28 |
1215987185 | Robert Alan Ortmann | Internal Medicine | Lilly Corporate Ctr, Dc 1940, Indianapolis, IN 46285-0001 | 2006-05-11 |
1164486874 | Rose S Fife | Internal Medicine | 541 Clinical Dr, Cl 370, Indianapolis, IN 46202-5233 | 2006-04-12 |
1083689939 | Gregory Marcos Bell | Internal Medicine | 7910 E Washington St Ste 200a, Indianapolis, IN 46219-5533 | 2006-02-22 |
1225010887 | James W, Ehlich Jr. | Internal Medicine | 5255 E Stop 11 Rd Ste 320, Indianapolis, IN 46237-6341 | 2005-11-18 |
1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
1700039716 | Naresh Chauhan | Internal Medicine | 1110 W Michigan St, Room 545, Indianapolis, IN 46202-5209 | 2008-11-04 |
1386800944 | Mrisa Sahai | Internal Medicine | 550 University Blvd, Indianapolis, IN 46202-5149 | 2008-08-04 |
1356505382 | Community Hospitals of Indiana Inc | Internal Medicine | 8202 Clearvista Pkwy, Suite 8b, Indianapolis, IN 46256-1456 | 2008-07-18 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46250 |
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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.