MAURICE IBRAHIM KHAYAT (NPI# 1518209758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518209758 |
| Entity Type | Individual |
| Full Name | MAURICE IBRAHIM KHAYAT |
| Credential | M.D. |
| Practice Address |
9040 Jackson Ave Mche-qd (creds) Tacoma WA 98431 |
| Mailing Address |
9040 Jackson Ave Mche-qd (creds) Tacoma WA 98431-1100 |
| Practice Telephone | 2539681485 |
| Practice Fax Number | 2539681188 |
| Mailing Telephone | 5396814852 |
| Mailing Fax Number | 2539681188 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A133424 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 133424 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3851 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 782344501 | 2109162460 | 2109164721 |
| Street Address |
9040 JACKSON AVE MCHE-QD (CREDS) |
| City | TACOMA |
| State | WA |
| Zip Code | 98431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1790036895 | Cynthia L. Alexander | Psychologist | 9933 West Hayes Street, Old Madigan, National Center for Telehealth & Technology (t2), Joint Base Lewis-mcchord, WA 98431 | 2012-09-28 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
| 1124065321 | Thomas J Martin | Internal Medicine | 1708 S Yakima Ave, Suite 107, Tacoma, WA 98405 | 2006-05-31 |
| 1962407312 | John A Kennedy | Internal Medicine | 1624 S I St, Ste 303, Tacoma, WA 98405-5093 | 2005-06-14 |
| 1134377070 | Franciscan Medical Group | Internal Medicine | 1708 Yakima Ave, #107, Tacoma, WA 98405-5307 | 2008-09-04 |
| 1043472806 | Dustin Little | Internal Medicine | Madigan Army Medical Ctr, Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-07-01 |
| 1184821225 | Ho Won Lee | Internal Medicine | 1901 S Union Ave, Suite B-7011, Tacoma, WA 98405-1702 | 2007-07-02 |
| 1467505933 | Neil R Hannigan M D P S Inc | Internal Medicine | 1708 Yakima Ave, Suite 107, Tacoma, WA 98405-5307 | 2007-01-19 |
| 1215084025 | Melissa Yeh Kaptik | Internal Medicine | 1708 Yakima Ave, #107, Tacoma, WA 98405-5307 | 2007-01-04 |
| 1508926056 | Howard M. Cushner | Internal Medicine | Madigan Army Medical Ctr, 9040 Reid St Attn Mchj Qcr, Tacoma, WA 98431-1100 | 2006-12-12 |
| 1730106568 | Pacific Nephrology Associates, P.s. | Internal Medicine | 1901 S Union Ave, Suite B7011, Tacoma, WA 98405-1702 | 2006-07-17 |
| Find all providers in TACOMA | ||||
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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.