KHALIL AZEM


Address: 36100 Euclid Ave, Ste 350, Willoughby, OH 44094-4456
Phone: 4409429308

KHALIL AZEM (NPI# 1508859497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508859497
Entity Type Individual
Full Name KHALIL AZEM
Credential MD
Practice Address 36100 Euclid Ave
Ste 350
Willoughby
OH 44094-4456
Practice Telephone 4409429308
Practice Fax Number 4409428981
Mailing Telephone 4409429308
Mailing Fax Number 4409428981
Enumeration Date 2005-08-25
Last Update Date 2010-10-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 054514 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0652575 05
OH BLUE CROSS BLUE SHIELD 000000131755 01

Office Location

Street Address 36100 EUCLID AVE
STE 350
City WILLOUGHBY
State OH
Zip Code 44094-4456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649711870 Sabina Sibi Nurse Practitioner 36100 Euclid Ave, #350, Willoughby, OH 44094-4456 2017-03-20
1013310051 Kimberly Salcer Nurse Practitioner 36100 Euclid Ave, Suite 270, Willoughby, OH 44094-4456 2014-10-06
1174963235 Kristan J. Bryant Nurse Practitioner 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 2013-07-03
1427310168 Cleveland Advanced Surgical LLC Surgery 36100 Euclid Ave, Suite 330b, Willoughby, OH 44094-4456 2012-06-08
1558651968 Cleveland Eye Care & Surgery, Inc. Ophthalmology 36100 Euclid Ave, Suite 450, Willoughby, OH 44094-4456 2011-04-19
1922308774 Eastside Primary Care LLC Internal Medicine 36100 Euclid Ave, #430, Willoughby, OH 44094-4456 2010-10-27
1013227628 George Eli Drogomir Internal Medicine 36100 Euclid Ave, Suite 170, Willoughby, OH 44094-4456 2010-10-15
1710295829 Lake Hospital System Internal Medicine 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 2010-09-23
1073839783 Boris Vinogradsky Md Inc Surgery 36100 Euclid Ave, Willoughby, OH 44094-4456 2010-04-20
1225263528 Paul R Zellers Internal Medicine 36100 Euclid Ave, Willoughby, OH 44094-4456 2009-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574367 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 36596 Euclid Ave, Willoughby, OH 44094 2020-09-25
1679111322 Megan King Nurse Practitioner 4078 Erie Street, Unit B, Willoughby, OH 44094 2019-12-12
1124661525 Mind and Body Infusion Therapies, LLC Clinic/Center 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 2019-10-18
1679125637 Christina Maria Chandler Family Medicine 39021 Signature Circle, Willoughby, OH 44094 2019-07-10
1467920595 Rachel Curry Specialist/Technologist 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 2018-11-07
1437649753 Katie Lauren Greenaway Registered Nurse 5103 Robinhood Dr, Willoughby, OH 44094 2018-05-11
1003346131 Heather Marie Hayes Licensed Practical Nurse 38882 Mentor Ave., Willoughby, OH 44094 2017-06-12
1609305028 Ann Marie Mason Counselor 38882 Mentor Avenue, Willoughby, OH 44094 2017-06-08
1285173005 Mattie Diann Towns-scott Social Worker 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 2017-02-13
1447797329 Therese Benz General Acute Care Hospital 96000 Euclid Ave., Willoughby, OH 44094 2017-01-30
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124235346 Lake Ent Inc Otolaryngology 36100 Euclid Ave, #350, Willoughby, OH 44094-4456 2007-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023679271 Gustavo Guimaraes Rangel Otolaryngology 5317 Adventure Dr, Dublin, OH 43017-1001 2019-06-27
1891358156 Sarah Christine Nyirjesy Otolaryngology Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 2019-04-22
1215401013 Osup Clinical Physicians, LLC Otolaryngology 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 2019-01-15
1205319423 Fadi Abbass Md Otolaryngology 6693 N Chestnut St Ste 215, Ravenna, OH 44266-3900 2018-09-13
1033616107 Dr. Scott W. Blumer LLC Otolaryngology 2819 Aaronwood Ave. Nw, Massillon, OH 44646-2371 2018-04-06
1972959336 Chen Lin Otolaryngology 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 2016-05-04
1679935316 Antoine Eskander Otolaryngology 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 2016-03-22
1841684222 Hayley Lynn Born Otolaryngology 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 2015-03-24
1275943151 Laura Miller Otolaryngology 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 2014-05-01
1194157511 Harvey Thomas Staton Otolaryngology 3115 Henderson Ct, Springfield, OH 45503-1307 2013-08-08
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Competitor

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City WILLOUGHBY
Zip Code 44094

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Dataset Information

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.

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