HANI S GHAWI


Address: 619 E Mason St, 5th Floor, Springfield, IL 62701-1034
Phone: 2175458000

HANI S GHAWI (NPI# 1841486263) 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) 1841486263
Entity Type Individual
Full Name HANI S GHAWI
Credential MD
Practice Address 619 E Mason St
5th Floor
Springfield
IL 62701-1034
Mailing Address 619 E Mason St
Po Box 19658
Springfield
IL 62701-1034
Practice Telephone 2175458000
Practice Fax Number 2175454981
Mailing Telephone 2175458000
Mailing Fax Number 2175454981
Enumeration Date 2007-09-19
Last Update Date 2017-02-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
036-125433 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 00002 05
IL 036125433 05

Office Location

Street Address 619 E MASON ST
5TH FLOOR
City SPRINGFIELD
State IL
Zip Code 62701-1034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033190814 Carl E Arentzen Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St, Suite 3p25, Springfield, IL 62701-1034 2005-11-09
1669913349 Laura Grubb Internal Medicine 619 E Mason St, Ste. 4p57, Springfield, IL 62701-1034 2017-03-15
1265974604 Julie Borjon Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-11-16
1912358565 Meleah Vaughan Nurse Practitioner 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-06-24
1508225616 Margaret Jordan Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-02-17
1487011144 Shauna Vogler Internal Medicine 619 E Mason St, Springfield, IL 62701-1034 2016-01-25
1871987750 Amy Durako Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2015-03-27
1215333604 Meredith Fleming Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2014-11-12
1154623585 Margie Douglas Nurse Practitioner 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2010-11-17
1326378175 Angela K. Lafrenz Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2009-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687183 Affinity Patient Coordination LLC In Home Supportive Care 217 E Monroe St Ste 102, Springfield, IL 62701 2018-07-31
1427498435 Donald L Jacoby Pharmacist 701 N. First St., Springfield, IL 62701 2013-07-05
1700183480 Erin Zepp Dietitian, Registered 319 E Madison St Ste 1f, Springfield, IL 62701 2011-02-16
1518117159 Jyoti Assudani Pediatrics 301 N 8th Street, Springfield, IL 62701 2008-09-19
1396924148 Jeanne Lyn Malone Counselor 408 South Fifth Street, Springfield, IL 62701 2007-10-29
1942422928 Nobuharu Harada Family Medicine 301 N 8th, Pav-3a158, Springfield, IL 62701 2007-05-02
1427131127 Radiological Associates of Decatur Radiology 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 2006-10-24
1669498606 Independence Holding Co LLC Pharmacy 201 North 5th Street, Springfield, IL 62701 2006-07-14
1720070238 Neil J. Thomas Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St Ste 4p57, Springfield, IL 62701 2005-08-19
1588187397 Andrea Nicole Bloodworth Internal Medicine 619 E Mason St Ste 4p57, Springfield, IL 62701 2017-07-24
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699153791 Siddharth Dubey Pediatrics 400 N 9th St Fl 2, Springfield, IL 62702-5310 2015-05-11
1023090875 Ramzi Toufic Nicolas Pediatrics 619 E Mason St Ste 5, Springfield, IL 62701-1080 2005-11-17
1710983291 Armin Jared Wagman Pediatrics 4350 S National Ave, # C-100, Springfield, MO 65810-2607 2005-06-21
1447686415 Lamya Mubayed Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2013-09-22
1881836724 Eric Anders Johnson Pediatrics 3377 Riverbend Dr, Springfield, OR 97477-8803 2009-03-24
1912098831 Thomas W Rowland Pediatrics 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 2006-09-27
1881793941 Anna Tsirka Pediatrics 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 2006-09-22
1275556771 Siu Physicians & Surgeons, Inc Pediatrics 701 N 1st St, D235, Springfield, IL 62781-0001 2006-07-25
1003812504 Alan Dare Tong Pediatrics 4350 S National Ave, Suite C 100, Springfield, MO 65810-2607 2005-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386187458 A2z Care Med-peds Specialists, PC Pediatrics 550 East Bougton Road, Suite 110, Bolingbrook, IL 60440-2194 2016-11-22
1003369836 Peter Varga Md Sc Pediatrics 317 N Euclid Ave, Oak Park, IL 60302-2109 2016-07-28
1558759738 Axiom Clinic, Sc Pediatrics 4202 Forest Ave, Downers Grove, IL 60515-2049 2014-12-22
1265853170 Leo Henikoff Jr. Pediatrics 1437 W Lexington St, Chicago, IL 60607-4013 2013-12-18
1932425188 Amy Marie O'connor Pediatrics 225 E Chicago Ave # 21, Chicago, IL 60611-2991 2010-04-13
1376709519 Sanmit Kumar Basu Pediatrics 5841 S Maryland Ave # Mc4051, Chicago, IL 60637-1443 2008-08-06
1104012053 Mukesh M. Doshi, M.d., S.c. Pediatrics 1768 Moon Lake Blvd, Suite 206, Hoffman Estates, IL 60169 2007-09-24
1740483627 Priti M. Patel Pediatrics 530 Ne Glenoak Ave, Peoria, IL 61603-3133 2007-06-07
1134241383 Ep Consultation, Ltd Pediatrics 910 W Van Buren St, Ste 226, Chicago, IL 60607-3523 2007-04-06
1487787818 Fairview Heights Medical Group Sc Pediatrics 11th and Broadway, 4th Floor, Quincy, IL 62301 2007-03-14
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Competitor

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City SPRINGFIELD
Zip Code 62701

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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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