JOUD GHASSOUB DIB (NPI# 1033273628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033273628 |
| Entity Type | Individual |
| Full Name | JOUD GHASSOUB DIB |
| Credential | M.D. |
| Practice Address |
419 East Donald Street Waterloo IA 50703-1223 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3192361911 |
| Practice Fax Number | 3192875832 |
| Mailing Telephone | 3192355390 |
| Mailing Fax Number | 3192879249 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
36972 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0749192 | 05 | |
| JOHN DEERE HEALTH CARE | 421417307M4 | 01 | |
| WELLMARK HEALTH CARE | 30680 | 01 |
| Street Address |
419 EAST DONALD STREET |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013960285 | Kalyana Sundaram | Internal Medicine | 419 East Donald Street, Waterloo, IA 50703-1223 | 2006-05-18 |
| 1003054305 | Lisa Lynn Maher | Nurse Practitioner | 419 East Donald Street, Waterloo, IA 50703-1223 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1952501918 | Himanshu Tandon | Internal Medicine | 419 E Donald St, Waterloo, IA 50703-1500 | 2007-07-18 |
| 1932152238 | Richard Paul Menning | Internal Medicine | 152 W Dale St, Waterloo, IA 50703-1925 | 2006-05-18 |
| 1588617880 | Hugo Elias Koo | Internal Medicine | 943 Sunrise Blvd, Waterloo, IA 50701-4951 | 2006-05-18 |
| 1013960285 | Kalyana Sundaram | Internal Medicine | 419 East Donald Street, Waterloo, IA 50703-1223 | 2006-05-18 |
| 1760464077 | Richard J Valente | Internal Medicine | 2710 Saint Francis Dr Ste 320, Waterloo, IA 50702-5620 | 2005-11-14 |
| 1518309681 | Arpit Sothwal | Internal Medicine | 2710 Saint Francis Dr Ste 320, Waterloo, IA 50702-5620 | 2013-07-18 |
| 1487918694 | Ajay Kumar Kaja | Internal Medicine | 419 E Donald St, Waterloo, IA 50703 | 2012-07-02 |
| 1376810770 | David W Kabel, Md, Facc, P.C. | Internal Medicine | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2011-11-30 |
| 1497917512 | Sharad Bajaj | Internal Medicine | 419 E Donald Street, Waterloo, IA 50703 | 2008-06-30 |
| 1710196712 | Salam A. Sbaity | Internal Medicine | 419 E Donald Street, Waterloo, IA 50703-1223 | 2007-05-22 |
| Find all providers in WATERLOO | ||||
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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.