YOHANNES TILAHUN MENGISTU (NPI# 1912292525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912292525 |
| Entity Type | Individual |
| Full Name | YOHANNES TILAHUN MENGISTU |
| Credential | M.D |
| Practice Address |
1900 Electric Rd Salem VA 24153 |
| Mailing Address |
4921 Seminary Rd Apt 324 Alexandria VA 22311-1804 |
| Practice Telephone | 5407764000 |
| Practice Fax Number | 5407764000 |
| Mailing Telephone | 4047239726 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101255669 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1900 ELECTRIC RD |
| City | SALEM |
| State | VA |
| Zip Code | 24153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281730 | Norberto Paras | Internal Medicine | 1900 Electric Rd, Salem, VA 24153-7474 | 2005-10-31 |
| 1376159335 | Hanna-nicole Stanley | Physician Assistant | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-09-16 |
| 1306469614 | Faraaz Bhatti | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-20 |
| 1336761972 | Tyler Starman | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-16 |
| 1619599644 | Christopher Patrick Cooney | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-13 |
| 1629690987 | Emily Yau | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-10 |
| 1124640461 | Libeneur Loriston | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-09 |
| 1861014227 | Brandon Kuley | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-08 |
| 1043832413 | Beverly Nyokabi | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-08 |
| 1962024398 | Kathryn Garcia | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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| 1427476753 | Lee Austin Fredrickson Jr. | Internal Medicine | 2020 E State St Ste C, Salem, OH 44460-2479 | 2014-04-03 |
| 1407119381 | Christina Joy Mckinnis | Internal Medicine | 27 Silverbrook Rd, Salem, NH 03079-4067 | 2012-06-16 |
| 1124331392 | Xi Zheng | Internal Medicine | 1049 Edgewater St Nw, Salem, OR 97304-4046 | 2010-07-16 |
| 1578894689 | Gary D Ollbrich Inc | Internal Medicine | 1044 Commercial St Se, Salem, OR 97302-4112 | 2010-01-29 |
| 1700114105 | Edward W Cipolla Do Pa | Internal Medicine | 330 Woodstown Rd Ste 1, Salem, NJ 08079-2093 | 2009-11-23 |
| 1053568592 | Garry Tim Miller II | Internal Medicine | 555 W Sr 164 North, Salem, UT 84653-1666 | 2008-08-27 |
| 1275700825 | Jatinder Aujla | Internal Medicine | 55 Highland Ave Ste 304, Salem, MA 01970-2100 | 2008-05-13 |
| 1780889386 | Ryan D Zaklin | Internal Medicine | 84 Highland Ave Ste 311, Salem, MA 01970-2733 | 2007-06-15 |
| Find all providers in SALEM | ||||
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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.