DR. MOHUMMED RADWAN KHANI (NPI# 1508022740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508022740 |
| Entity Type | Individual |
| Full Name | DR. MOHUMMED RADWAN KHANI |
| Other Name | DR. MOHUMMED RADWAN KHANI |
| Credential | M.D |
| Practice Address |
255 Memorial Dr Jacksonville NC 28546-6333 |
| Mailing Address |
252 Memorial Drive Jacksonville NC 28546 |
| Practice Telephone | 3478204943 |
| Mailing Telephone | 3478204943 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD449711 | PA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | MD449711 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
255 MEMORIAL DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770529448 | Lennox George Williams | Surgery | 255 Memorial Dr, Onslow Surgical Clinic Pa, Jacksonville, NC 28546-6333 | 2006-06-21 |
| 1134579584 | Ashley Grogan Bacheller | Physician Assistant | 255 Memorial Dr, Jacksonville, NC 28546-6333 | 2016-06-16 |
| 1558776997 | Onslow Ambulatory Services, Inc. | Surgery | 255 Memorial Dr, Jacksonville, NC 28546-6333 | 2014-06-24 |
| 1487758785 | Onslow Surgical Clinic Pa | Surgery | 255 Memorial Dr, Jacksonville, NC 28546 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645458 | Rs Surgical | Colon & Rectal Surgery | 4608 Swilcan Bridge Ln S, Jacksonville, FL 32224-5620 | 2019-08-19 |
| 1609828557 | Brian Thomas Mckibben | Colon & Rectal Surgery | 1515 May St, Jacksonville, FL 32204-4007 | 2006-05-17 |
| 1568423622 | Francis A Chrzanowski Jr. | Colon & Rectal Surgery | 4910 Beach Blvd, Jacksonville, FL 32207-4817 | 2006-03-29 |
| 1447641592 | Brian T. Mckibben, Md | Colon & Rectal Surgery | 1515 May St, Jacksonville, FL 32204-4007 | 2015-02-11 |
| 1407013592 | Ron G Landmann | Colon & Rectal Surgery | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2008-05-17 |
| 1467625434 | Neil William Carlton Gibson | Colon & Rectal Surgery | 4910 Beach Blvd, Jacksonville, FL 32207-4817 | 2008-04-10 |
| 1649477522 | Dorin Colibaseanu | Colon & Rectal Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2007-07-02 |
| 1730383118 | Amit Merchea | Colon & Rectal Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2007-06-12 |
| 1295777514 | Luca Stocchi | Colon & Rectal Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2006-06-12 |
| 1740241496 | Robert Clarence Moore | Colon & Rectal Surgery | 4910 Beach Blvd, Jacksonville, FL 32207-4817 | 2006-03-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
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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.