KHADER MUSTAFA (NPI# 1881078533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881078533 |
| Entity Type | Individual |
| Full Name | KHADER MUSTAFA |
| Practice Address |
5700 Monroe St Unit 202 Sylvania OH 43560 |
| Mailing Address |
5700 Monroe St Unit 202 Sylvania OH 43560-2735 |
| Practice Telephone | 5675850115 |
| Mailing Telephone | 5675850115 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
35063837 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0892673 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Severance Cir, Apartment 601, Cleveland Heights, OH 441181531 | 2163924891 | |
| 5700 Monroe St Unit 202, Sylvania, OH 43560 | 5675850115 |
| Street Address |
5700 MONROE ST UNIT 202 |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| 1548682917 | Michigan Medical Laboratory LLC | Clinical Medical Laboratory | 5732 Alexis Road, Sylvania, OH 43560 | 2014-01-20 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1487048617 | Juliette Yedimenko | Internal Medicine | 9500 Euclid Ave # A50, Cleveland, OH 44195-0001 | 2015-03-25 |
| 1740623628 | Licking Memorial Professional Corporation | Internal Medicine | 1272 West Main Street Bldg 2, Ste 4, Newark, OH 43055 | 2013-04-10 |
| 1790020501 | Bruce Wall | Internal Medicine | 700 Ackerman Rd Ste 580, Columbus, OH 43202-1589 | 2012-12-05 |
| 1942563218 | Beatrice Kenol | Internal Medicine | 3691 Ridge Mill Dr Fl 1, Hilliard, OH 43026-7752 | 2012-06-20 |
| 1902136443 | Thomas James Romano | Internal Medicine | 205 N 5th St, Martins Ferry, OH 43935-1530 | 2010-01-06 |
| 1295061224 | Robert V. Hemphill | Internal Medicine | 1241 Briarhill Spur, Akron, OH 44333 | 2009-10-27 |
| 1639317696 | Frederic Carl Bishko | Internal Medicine | 2679 Rocklyn Rd, Shaker Heights, OH 44122-2112 | 2009-01-29 |
| 1639332265 | Shailey Desai | Internal Medicine | 9500 Euclid Ave Desk A50, Cleveland, OH 44195 | 2008-07-03 |
| 1407049133 | May Azem | Internal Medicine | 7527 Fredle Dr, Concord Twp, OH 44077-9406 | 2007-08-27 |
| 1366649535 | Marcos Estrada Gomez | Internal Medicine | 7502 State Rd Ste 2290, Cincinnati, OH 45255-2800 | 2007-06-29 |
| Find all providers with the same taxonomy | ||||
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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.