SAMER KASSAR (NPI# 1902839525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902839525 |
| Entity Type | Individual |
| Full Name | SAMER KASSAR |
| Credential | MD |
| Practice Address |
1100 Joliet St Suite 201 Dyer IN 46311 |
| Mailing Address |
Po Box 423 Dyer IN 46311-0423 |
| Practice Telephone | 2198362096 |
| Practice Fax Number | 2198362097 |
| Mailing Telephone | 2198362096 |
| Mailing Fax Number | 2198362097 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01073001A | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036-110816 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01073001A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201190900 | 05 | |
| IL | RAIL ROAD MEDICARE | P00342326 | 01 |
| IL | BCBS | 036115532 | 01 |
| IN | ANTHEM | 000000837445 | 01 |
| IL | 036115532 | 05 |
| Street Address |
1100 JOLIET ST SUITE 201 |
| City | DYER |
| State | IN |
| Zip Code | 46311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871561977 | Douglas Hoeksema | Physical Therapist | 1100 Joliet St, Suite 205, Dyer, IN 46311-1996 | 2006-03-14 |
| 1366894495 | Roland Saucier | Physical Therapist | 1100 Joliet St, 105, Dyer, IN 46311-1996 | 2016-07-13 |
| 1912360546 | Michelle Terwilliger | Nurse Practitioner | 1100 Joliet St, Suite 201, Dyer, IN 46311-1996 | 2016-03-31 |
| 1477801116 | Sarah K Martinez | Physical Therapist | 1100 Joliet St, Suite 105, Dyer, IN 46311-1996 | 2012-08-28 |
| 1093009516 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 1100 Joliet St, Suite 205, Dyer, IN 46311-1996 | 2011-06-01 |
| 1053579912 | Mark K Chang Md | Orthopaedic Surgery | 1100 Joliet St, Suite 104, Dyer, IN 46311-1996 | 2008-05-28 |
| 1003022476 | Mark K Chang Md | Orthopaedic Surgery | 1100 Joliet St, Ste 104, Dyer, IN 46311-1996 | 2007-05-15 |
| 1871607507 | Mark K Chang | Orthopaedic Surgery | 1100 Joliet St, Ste 104, Dyer, IN 46311-1996 | 2006-08-19 |
| 1669486833 | Sara Jinane Stafford | Physical Therapist | 1100 Joliet St, Ste 105, Dyer, IN 46311-1996 | 2006-07-27 |
| 1750319679 | Back To Work, Inc. | Physical Therapist | 1100 Joliet St, Suite 105, Dyer, IN 46311-1996 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124453279 | Midwest Neurology Associates PC | Psychiatry & Neurology | 1100 Joliet St Ste 201, Dyer, IN 46311-1995 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
| 1235577065 | Ryan William Pappas | Psychiatry & Neurology | 2000 Roosevelt Rd Ste 207, Valparaiso, IN 46383-2802 | 2013-06-14 |
| 1467794271 | William Louis Conte | Psychiatry & Neurology | 200 E 89th Ave # B, Merrillville, IN 46410 | 2013-03-19 |
| 1285997494 | Jordan D Raynor | Psychiatry & Neurology | 1050 Reid Pkwy., Ste. 210, Richmond, IN 47374-1160 | 2012-06-21 |
| 1578820510 | Cindy Joseph | Psychiatry & Neurology | 759 45th St, 104, Munster, IN 46321-2939 | 2012-04-16 |
| 1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
| 1336414499 | Michiana Neurologic Medicine, PC | Psychiatry & Neurology | 229 Red Coach Dr Ste 105, Mishawaka, IN 46545-3195 | 2012-03-21 |
| 1023315587 | Comprehensive Neurology Care, PC | Psychiatry & Neurology | 502 Wall St Ste 104, Valparaiso, IN 46383-2599 | 2011-02-18 |
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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.