DR. MAZIN HAZIM KAMIL (NPI# 1063020626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063020626 |
| Entity Type | Individual |
| Full Name | DR. MAZIN HAZIM KAMIL |
| Credential | MD |
| Practice Address |
15 Remington Place Ct Ballwin MO 63021-6369 |
| Practice Telephone | 0941222052 |
| Mailing Telephone | 0941222052 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2018042518 | MO | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2018042518 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 0000 | 05 |
| Street Address |
15 REMINGTON PLACE CT |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021-6369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| 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 |
|---|---|---|---|---|
| 1053962357 | Premier Healthcare Stl LLC | Internal Medicine | 703 Hesemann Ridge Ct, Ballwin, MO 63021-3602 | 2019-09-27 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1891238077 | Imdad Long Term Care, LLC | Internal Medicine | 18 Lochhaven Ln, Ballwin, MO 63021-8020 | 2016-11-21 |
| 1174797427 | Rachel Anne Dickerson | Internal Medicine | 15421 Clayton Rd Ste 101, Ballwin, MO 63011-3161 | 2008-04-17 |
| 1508932195 | Binwant K Singh | Internal Medicine | 452a Sovereign Ct, Ballwin, MO 63011 | 2006-11-27 |
| 1285831164 | Lauren Bush King | Internal Medicine | 15945 Clayton Rd, Suite 340, Ballwin, MO 63011-2490 | 2007-07-02 |
| 1174591374 | Christine A. Sigman | Internal Medicine | 15945 Clayton Rd, Suite 310, Ballwin, MO 63011-2490 | 2006-03-14 |
| 1306815451 | David M. Schoenwalder | Internal Medicine | 15945 Clayton Rd, Suite 310, Ballwin, MO 63011-2490 | 2006-03-14 |
| 1831166263 | David F. Schlitt | Internal Medicine | 15945 Clayton Rd, Suite 320, Ballwin, MO 63011-2490 | 2006-03-03 |
| 1588631238 | Michael S. Schoenwalder | Internal Medicine | 15945 Clayton Rd, Suite 310, Ballwin, MO 63011-2490 | 2006-03-01 |
| Find all providers in BALLWIN | ||||
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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.