EDWARD KHALIL (NPI# 1922200377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922200377 |
| Entity Type | Individual |
| Full Name | EDWARD KHALIL |
| Credential | MD |
| Practice Address |
1 Parkland Dr Derry NH 03038-2746 |
| Mailing Address |
14 Crestview Cir Unit 164 Londonderry NH 03053-2489 |
| Practice Telephone | 6034212143 |
| Practice Fax Number | 6034212344 |
| Mailing Telephone | 2072636761 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 268905 | MA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 15880 | NH | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
017256 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | LICENSE NUMBER | 017256 | 01 |
| Street Address |
1 PARKLAND DR |
| City | DERRY |
| State | NH |
| Zip Code | 03038-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319687 | Nicholas Tzavalas | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2006-01-05 |
| 1730788373 | Michael Stafford | Specialist/Technologist, Other | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-10-24 |
| 1811500424 | Hca Health Services of New Hampshire, Inc. | Psychiatric Unit | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-25 |
| 1225648702 | Kendra Snyder Huckins | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-09 |
| 1720612054 | Kyle Cahill | Occupational Therapist | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-25 |
| 1336771880 | Kristen Poole Flagg | Dietitian, Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-12 |
| 1861950651 | Anesthesia Associates of New England PC | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2019-03-11 |
| 1275041642 | Justin Keaton Smith | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2018-01-18 |
| 1508384645 | Ann Gitonga Kumbani | Nurse Anesthetist, Certified Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-09-08 |
| 1801319710 | Justin Herbert Soule | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902892813 | Prakash K Vin | Internal Medicine | 118 W 4th Ave, Derry, PA 15627-1252 | 2005-09-26 |
| 1780164129 | Sj Health LLC | Internal Medicine | 8 Peabody Rd, Derry, NH 03038-1807 | 2018-08-15 |
| 1316324163 | Daanish Chippa | Internal Medicine | 1 Parkland Dr, Derry, NH 03038-2746 | 2015-04-30 |
| 1578965299 | Albacore Inpatient Services LLC | Internal Medicine | 1 Parkland Dr, Derry, NH 03038-2746 | 2014-09-25 |
| 1093086068 | Recovery First Physicians Group | Internal Medicine | 16 Manning St, Suite 110, Derry, NH 03038-2388 | 2012-01-23 |
| 1447477799 | Rajesh Shoor | Internal Medicine | 1 Parkland Dr, Derry, NH 03038-2746 | 2007-04-19 |
| 1891846929 | Caren Eliezer | Internal Medicine | 14 Tsienneto Rd Ste 200a, Derry, NH 03038 | 2007-01-16 |
| 1831283134 | Richard P Lafleur | Internal Medicine | 6 Tsienneto Road, Suite 300, Derry, NH 03038-0038 | 2006-10-03 |
| 1285728584 | Edmund S Schiavoni Jr. | Internal Medicine | 6 Tsienneto Road, Suite 300, Derry, NH 03038-0038 | 2006-10-03 |
| 1356435655 | Mark B Richard | Internal Medicine | 6 Tsienneto Road, Suite 300, Derry, NH 03038-0038 | 2006-10-03 |
| Find all providers in DERRY | ||||
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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.