DR. BAHA MOHAMMED TALEB OBAIDAT (NPI# 1437563772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437563772 |
| Entity Type | Individual |
| Full Name | DR. BAHA MOHAMMED TALEB OBAIDAT |
| Credential | MBBS |
| Practice Address |
555 Black Oak Dr Ste 300 Medford OR 97504-8491 |
| Mailing Address |
2825 E Barnett Rd # Mss Medford OR 97504-8332 |
| Practice Telephone | 5417898100 |
| Mailing Telephone | 5417894281 |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2020-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD195613 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD195613 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD195613 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
555 BLACK OAK DR STE 300 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437168010 | George Nunzio Giacoppe Jr. | Internal Medicine | 555 Black Oak Dr Ste 300, Medford, OR 97504-8491 | 2006-08-05 |
| 1912314279 | Rishi Shravan Arora | Internal Medicine | 555 Black Oak Dr Ste 300, Medford, OR 97504-8491 | 2014-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1437168010 | George Nunzio Giacoppe Jr. | Internal Medicine | 555 Black Oak Dr Ste 300, Medford, OR 97504-8491 | 2006-08-05 |
| 1346603479 | App Pulmonary Group | Internal Medicine | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2016-04-05 |
| 1548638265 | Partners Community Physicians Organization Inc | Internal Medicine | 137 Main St, Medford, MA 02155-4522 | 2015-09-11 |
| 1477857498 | Berta P Baldovino Navarro | Internal Medicine | 555 Black Oak Drive, Suite 300a, Medford, OR 97504 | 2011-01-05 |
| 1285965657 | Philip Fred Michael | Internal Medicine | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2010-01-24 |
| 1437365574 | Michael Zack Md PC | Internal Medicine | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2007-05-15 |
| 1487780714 | John C Ordal | Internal Medicine | 555 Black Oak Dr, Suite 300, Medford, OR 97504-8447 | 2007-02-23 |
| 1922134287 | Dan F Fennell | Internal Medicine | 555 Black Oak Dr, Suite 300, Medford, OR 97504-8447 | 2007-02-23 |
| 1649306929 | Joseph A Schoenhals | Internal Medicine | 555 Black Oak Dr, Suite 300, Medford, OR 97504-8447 | 2007-02-23 |
| 1497840813 | Julian W Bell | Internal Medicine | 1698 E Mcandrews Rd, Suite 400, Medford, OR 97504-5589 | 2006-10-03 |
| Find all providers in MEDFORD | ||||
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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.