KHALIL AZEM (NPI# 1508859497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 054514 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0652575 | 05 | |
OH | BLUE CROSS BLUE SHIELD | 000000131755 | 01 |
Street Address |
36100 EUCLID AVE STE 350 |
City | WILLOUGHBY |
State | OH |
Zip Code | 44094-4456 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 44094 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124235346 | Lake Ent Inc | Otolaryngology | 36100 Euclid Ave, #350, Willoughby, OH 44094-4456 | 2007-05-17 |
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 |
Find all providers with the same taxonomy |
City | WILLOUGHBY |
Zip Code | 44094 |
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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.