ALI H. ABDUL JABBAR (NPI# 1578729406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578729406 |
| Entity Type | Individual |
| Full Name | ALI H. ABDUL JABBAR |
| Credential | MD |
| Practice Address |
6006 49th St N Ste 200 St Petersburg FL 33709-2149 |
| Practice Telephone | 7274902100 |
| Practice Fax Number | 8552223965 |
| Mailing Telephone | 8325122368 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35.099540 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME132123 | FL | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
301968 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | LL1917 | NV | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PIN | KN557 | 01 |
| OH | 0080826 | 05 | |
| FL | 101414600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Arlington Ave, Mail Stop 1118, Toledo, OH 436142595 | 4193836094 |
| Street Address |
6006 49TH ST N STE 200 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467414383 | John W. Walsh | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2006-04-05 |
| 1174032247 | Heather Tate | Physician Assistant | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2017-09-21 |
| 1174061808 | Josip Katinic | Nurse Practitioner | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2017-02-01 |
| 1710234158 | George Degheim | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2012-08-03 |
| 1609160563 | Marshall Bernard Marcus | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2011-06-07 |
| 1851524953 | Jaime Alexander Caballero | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2009-08-24 |
| 1861428260 | Usama Mukayed | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467414383 | John W. Walsh | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2006-04-05 |
| 1932209608 | Amit Srivastava | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709-1041 | 2006-09-23 |
| 1336101211 | Andrew D. Rosenthal | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2006-04-05 |
| 1174516454 | David Wolters Kohl | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709-1041 | 2005-08-23 |
| 1689667966 | Solomon Fishman | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709-1041 | 2005-08-23 |
| 1144213422 | Ravi Reddy Kethireddy | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709-1041 | 2005-08-23 |
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| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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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.