HANIA ZIAD AL-SHAHROURI (NPI# 1861550790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861550790 |
| Entity Type | Individual |
| Full Name | HANIA ZIAD AL-SHAHROURI |
| Credential | MD |
| Practice Address |
1500 Dodson Ave Ste 280 Fort Smith AR 72901-5182 |
| Mailing Address |
Po Box 11449 Belfast ME 04915-4005 |
| Practice Telephone | 4797097480 |
| Practice Fax Number | 4797097479 |
| Mailing Telephone | 4797091924 |
| Mailing Fax Number | 4797097499 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
E7274 | AR | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M5612 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 185615503 | 01 |
| TX | BCBS | 8AC881 | 01 |
| TX | 185615502 | 05 |
| Street Address |
1500 DODSON AVE STE 280 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548485 | Nabil Akkad | Surgery | 1500 Dodson Ave, Ste 250, Fort Smith, AR 72901-5182 | 2005-09-15 |
| 1518439462 | Paul W Dobbs | Nurse Practitioner | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2018-12-17 |
| 1265986913 | Lisa Deniece Coker | Nurse Practitioner | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 | 2016-08-11 |
| 1720445661 | Joshua Casey | Nurse Anesthetist, Certified Registered | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2016-01-22 |
| 1285003509 | Heather Manchester | Clinical Nurse Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-16 |
| 1588032684 | Michael William Jones | Peer Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-04 |
| 1730579152 | Elizabeth Ann Clark | Nurse Practitioner | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 | 2015-01-24 |
| 1851714562 | Stacia Wehunt | Nurse Practitioner | 1500 Dodson Ave, Suite 250, Fort Smith, AR 72901-5182 | 2014-01-31 |
| 1447590864 | Brittney Renae Sivils | Nurse Practitioner | 1500 Dodson Ave, Ste 60, Fort Smith, AR 72901-5182 | 2013-02-21 |
| 1669735759 | Kurt Ehlert, Md, P.a. | Orthopaedic Surgery | 1500 Dodson Ave, Suite 285, Fort Smith, AR 72901-5182 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| 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 |
|---|---|---|---|---|
| 1124507934 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 280, Fort Smith, AR 72901 | 2018-08-13 |
| 1023318334 | Charles Moussallem | Internal Medicine | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 | 2010-11-02 |
| 1982634580 | Michael D Coleman Jr. | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-03 |
| 1326078924 | Michael D Coleman Sr. | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-03 |
| 1255398939 | Fort Smith Regional Dialysis Center LLC | Internal Medicine | 2201 Brooken Hill Dr, Fort Smith, AR 72908-8611 | 2006-04-27 |
| 1710974548 | Dana P Rabideau | Internal Medicine | 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | 2005-10-06 |
| 1912995713 | James T Henry | Internal Medicine | 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | 2005-10-06 |
| 1245228055 | James L Bruton | Internal Medicine | 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075121 | Ronald Hughes | Internal Medicine | 4919 Stonewall Rd, Little Rock, AR 72207-4735 | 2016-03-17 |
| 1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
| 1194909325 | Umbar Ghaffar | Internal Medicine | 813 Founders Park Drive, Suite 203, Springdale, AR 72762-6314 | 2007-12-24 |
| 1588845259 | Nephrology Associates, PC | Internal Medicine | 1409 E Moultrie Dr, Blytheville, AR 72315-6855 | 2007-11-21 |
| 1255543278 | Prajwal Chevireddy | Internal Medicine | 9601 Baptist Health Dr Ste 350, Little Rock, AR 72205-6356 | 2007-05-03 |
| 1538383799 | Adam Woodruff | Internal Medicine | 4802 E. Johnson Ave, Jonesboro, AR 72401 | 2007-04-12 |
| 1376665646 | Drew Courtney Heiple | Internal Medicine | 115 Wrights St Ste C, Hot Springs National Park, AR 71913-6240 | 2007-04-06 |
| 1174608905 | Daniel P Chock | Internal Medicine | 503 S College St, Mountain Home, AR 72653 | 2006-10-27 |
| 1942308101 | Gregory P. Mock | Internal Medicine | 403 S Poplar St Ste D, Searcy, AR 72143-6000 | 2006-09-20 |
| 1932202819 | Muhammad G Alam | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.