DR. OMAR IDLIBI (NPI# 1962407189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962407189 |
| Entity Type | Individual |
| Full Name | DR. OMAR IDLIBI |
| Credential | MD |
| Practice Address |
1815 Back Creek Dr Charlotte NC 28213-2159 |
| Practice Telephone | 7045988818 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
9300397 | NC | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
9300397 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
9300397 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1815 BACK CREEK DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750802344 | The Snf Group, Pllc | Family Medicine | 1815 Back Creek Dr, Charlotte, NC 28213-2159 | 2017-07-05 |
| 1992700124 | Carolina Medical Lab Group Inc. | Clinical Medical Laboratory | 1815 Back Creek Dr, Charlotte, NC 28213-2159 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093112385 | Adil Gasim | Pathology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-12-02 |
| 1366768848 | Aaron Hartman | Pathology | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2010-04-09 |
| 1639317308 | William Carl Jacobs Jr. | Pathology | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2009-02-03 |
| 1487830733 | Celligent Diagnostics, LLC | Pathology | 101 E Wt Harris Blvd, Suite 1212, Charlotte, NC 28262-3423 | 2008-01-17 |
| 1548201825 | Keith J Kaplan | Pathology | 1000 Blythe Blvd, 4th Floor, Charlotte, NC 28203 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835789 | Peters Pathology, LLC | Pathology | 302 Lindsay St Fl 2, High Point, NC 27262-4961 | 2018-06-19 |
| 1497118608 | David A Eberhard | Pathology | 105 E Poplar Ave, Carrboro, NC 27510-1709 | 2016-04-04 |
| 1609133313 | Alexei Vladimirovitch Mikhailov | Pathology | Medical Center Blvd Department of Pathology, Winston Salem, NC 27157-0001 | 2012-04-19 |
| 1982920336 | Lisa Jane Hannah Cichon | Pathology | 7250 Nc Highway 751 Apt 1109, Durham, NC 27707-5720 | 2010-04-09 |
| 1699876102 | David Noble Howell | Pathology | 3712 Pathology, Duke University Medical Center, Durham, NC 27710-0001 | 2006-09-26 |
| 1801849351 | Tara C Rubinas | Pathology | 101manning Dr, Chapel Hill, NC 27599-0001 | 2006-05-18 |
| 1952379083 | Susan M Ferrell | Pathology | 272 Newstock Road, Asheville, NC 28804 | 2006-03-14 |
| 1639155971 | Dell Andrew Dembosky | Pathology | 30 Page St., Pinehurst, NC 28374-8449 | 2005-12-19 |
| 1497739866 | Venkata Ramana Challa | Pathology | 507 N Lindsay St, High Point, NC 27262-4303 | 2005-11-30 |
| 1275096497 | Madiha Emran Soofi | Pathology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2019-04-14 |
| 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.