KOMAL IJAZ (NPI# 1538777644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538777644 |
Entity Type | Individual |
Full Name | KOMAL IJAZ |
Credential | M.D. |
Practice Address |
1 Hospital Dr Columbia MO 65212-1000 |
Practice Telephone | 5738823014 |
Mailing Telephone | 5734896828 |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2020016712 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MO LICENSE | 2020016712 | 01 |
Street Address |
1 HOSPITAL DR |
City | COLUMBIA |
State | MO |
Zip Code | 65212-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720081508 | Michael S Brown | Anesthesiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2005-05-24 |
1639770928 | Kelsey Loethen | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-11-04 |
1750995718 | Hilary Anna Felice | Orthopaedic Surgery | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-06 |
1750995270 | Shannon Marie Green | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1001 | 2020-09-02 |
1992319628 | Mahmoud A Ali | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-01 |
1649898859 | Iwalewa Olowoporoku | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-14 |
1821616509 | Bryce Hoelscher | Student in an Organized Health Care Education/Training Program | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-09 |
1770100026 | Parker Trent Russell | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
1548887896 | Jacqueline E Santamarina | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
1518584937 | John Michael Rockett | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
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Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346732781 | Christopher Ryan Cunningham | Pathology | 1 Hospital Dr Dept Of, Columbia, MO 65212-1000 | 2018-06-01 |
1730679986 | Tao Zhang | Pathology | 1 Hospital Dr Bldg, Columbia, MO 65212-1000 | 2018-05-14 |
1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
1780061986 | Robert Jones | Pathology | 901 Rangeline St, Columbia, MO 65201-4562 | 2015-04-27 |
1407233604 | Jason Edward Denney | Pathology | 3601 W Broadway Apt 11-301, Columbia, MO 65203-0128 | 2015-04-27 |
1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
1932351764 | Kent J Newsom | Pathology | 1 Science Ct Ste 200, Professional Pathology Services, Columbia, SC 29203-9653 | 2008-10-10 |
1407967953 | John Logan Ward | Pathology | 30 Quinine Hl, Columbia, SC 29204-3414 | 2006-08-31 |
1790892594 | Joseph Elliott Benson Jr. | Pathology | 1107 Sequoya Trl, Columbia, TN 38401-8468 | 2006-08-25 |
1477585909 | Anita Godra | Pathology | 10320 Swift Stream Pl, #405, Columbia, MD 21044-4871 | 2006-07-07 |
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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.