DR. HASSAN MAHDI AL-KHALISY (NPI# 1053727503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053727503 |
| Entity Type | Individual |
| Full Name | DR. HASSAN MAHDI AL-KHALISY |
| Credential | M.D. |
| Practice Address |
90 Presidential Plz Syracuse NY 13202-2240 |
| Mailing Address |
800 N Clinton St Apt 108 Syracuse NY 13204-1354 |
| Practice Telephone | 3154643835 |
| Mailing Telephone | 9175626335 |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Front St, Harrisburg, PA 171012010 | 7172818506 |
| Street Address |
90 PRESIDENTIAL PLZ |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
| 1558978940 | Krista Marie Shanholtz | Family Medicine | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-09-29 |
| 1689299505 | Kimberly Ann Cerasani | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-06-16 |
| 1235609512 | Sara Marie Obrist | Social Worker | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2018-11-29 |
| 1063949816 | Catherine Bird Fessenden | Student in an Organized Health Care Education/Training Program | 90 Presidential Plz, Suite 300, Syracuse, NY 13202-2240 | 2017-05-11 |
| 1013469873 | Davia Gaelin Moss | Registered Nurse | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2016-10-27 |
| 1285183335 | Stacy Jo Mcclintic | Dietitian, Registered | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2016-09-30 |
| 1235590738 | Lara Kratochwill | Pharmacist | 90 Presidential Plz, Adult Medicine Clinic, Syracuse, NY 13202-2240 | 2016-03-10 |
| 1699144527 | Viktoria Kenney | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2015-09-22 |
| 1053789610 | Suny Upstate | Clinic/Center | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475136 | Joan Sequeira | Student in an Organized Health Care Education/Training Program | 300 Audubon Pkwy Apt 95, Syracuse, NY 13224-1245 | 2020-10-26 |
| 1134728686 | Sarah Grube | Student in an Organized Health Care Education/Training Program | 5599 Thompson Rd Apt A8, Syracuse, NY 13214-1667 | 2020-10-25 |
| 1669070413 | Sarah Lynn Olszewski | Student in an Organized Health Care Education/Training Program | 451 Bryant Ave, Syracuse, NY 13204-2505 | 2020-10-14 |
| 1689281370 | Ashley Summerton | Student in an Organized Health Care Education/Training Program | 721 N Clinton St Apt 315, Syracuse, NY 13204-1255 | 2020-09-26 |
| 1811503055 | Matthew Vincent Morales I | Student in an Organized Health Care Education/Training Program | 904 Westcott St, Syracuse, NY 13210-2508 | 2020-09-22 |
| 1043826282 | Alex J Zwierzynski | Student in an Organized Health Care Education/Training Program | 172 Greenland Dr, Syracuse, NY 13208-3057 | 2020-09-22 |
| 1528674934 | Nicole Kaczor | Student in an Organized Health Care Education/Training Program | 200 Croyden Rd, Syracuse, NY 13224-1935 | 2020-09-21 |
| 1043826480 | Faustin M. Bahizi | Student in an Organized Health Care Education/Training Program | 926 Maryland Ave, Syracuse, NY 13210-2504 | 2020-09-21 |
| 1306452743 | Samantha Elizabeth Monaco | Student in an Organized Health Care Education/Training Program | 1420 Salt Springs Rd, Syracuse, NY 13214-1434 | 2020-09-21 |
| 1528686557 | Siofra Murphy | Student in an Organized Health Care Education/Training Program | 4900 Broad Rd Ste 3m, Syracuse, NY 13215-2265 | 2020-07-07 |
| Find all providers in SYRACUSE | ||||
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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.