MOHAMAD EYAD KHORKI (NPI# 1992167498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992167498 |
| Entity Type | Individual |
| Full Name | MOHAMAD EYAD KHORKI |
| Credential | MBBS |
| Practice Address |
1301 Trumansburg Rd Ithaca NY 14850-1397 |
| Practice Telephone | 5136202240 |
| Mailing Telephone | 5136202240 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 300094 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 Burnet Ave, Ml 5018, Cincinnati, OH 452293026 | 5136345315 | 5136367905 |
| Street Address |
1301 TRUMANSBURG RD |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-1397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424362 | Christopher L Peck | Physician Assistant | 1301 Trumansburg Rd, Ste E, Ithaca, NY 14850-1397 | 2005-06-01 |
| 1760842314 | Samara Touchton | Nurse Practitioner | 1301 Trumansburg Rd, Suite P, Ithaca, NY 14850-1397 | 2016-02-24 |
| 1922493097 | Sapan Shah | Anesthesiology | 1301 Trumansburg Rd, Ithaca, NY 14850-1397 | 2015-04-05 |
| 1417264623 | Erin Lovejoy | Physician Assistant | 1301 Trumansburg Rd, Suite R, Ithaca, NY 14850-1397 | 2010-09-09 |
| 1528371291 | Andrea Beth Sharkness | Nurse Practitioner | 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 | 2010-07-22 |
| 1992943153 | Brian Bollo | Surgery | 1301 Trumansburg Rd, Suite E, Ithaca, NY 14850-1397 | 2009-01-27 |
| 1851571061 | Franciscan Health Support, Inc | Durable Medical Equipment & Medical Supplies | 1301 Trumansburg Rd, Ithaca, NY 14850-1397 | 2007-11-06 |
| 1568591352 | Scott Noren | Dentist | 1301 Trumansburg Rd, Suite # G, Ithaca, NY 14850-1397 | 2007-03-05 |
| 1962561951 | Ithaca Medical Group, Pllc | Internal Medicine | 1301 Trumansburg Rd, Suite P, Ithaca, NY 14850-1397 | 2006-12-06 |
| 1306925912 | Arthur Richard George | Physician Assistant | 1301 Trumansburg Rd, Suite R, Ithaca, NY 14850-1397 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285869834 | Timothy C Harris | Pediatrics | 10 Graham Road West, Ithaca, NY 14850 | 2009-05-27 |
| 1619959582 | Jeffrey David Snedeker | Pediatrics | 10 Graham Rd W, Ithaca, NY 14850-1055 | 2005-11-16 |
| 1871061473 | Caroline Furman | Pediatrics | 10 Graham Rd W, Ithaca, NY 14850-1055 | 2018-11-13 |
| 1639533664 | Brian Jeffrey Kramer | Pediatrics | 10 Graham Rd W, Ithaca, NY 14850-1055 | 2016-04-06 |
| 1730596107 | Cayuga Medical Center Employed Physicians Group | Pediatrics | 101 Dates Dr, Ithaca, NY 14850-1342 | 2014-07-17 |
| 1548689920 | Brittany J Raffa | Pediatrics | 10 Graham Rd W, Ithaca, NY 14850-1055 | 2014-04-14 |
| 1447512306 | Yonit T Estrin | Pediatrics | 10 Graham Road West, Ithaca, NY 14850 | 2012-06-15 |
| 1558628255 | Lindsay Brianne Tamborelle | Pediatrics | 10 Graham Rd W, Ithaca, NY 14850-1055 | 2012-04-19 |
| 1578798922 | Kathryn Marie Rooth | Pediatrics | 101 Dates Dr, Hospitalist Office, Ithaca, NY 14850-1342 | 2009-05-28 |
| 1740370709 | John Y Lambert | Pediatrics | 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 | 2006-10-13 |
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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.