HESHAM M BAZARAA (NPI# 1063407872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063407872 |
| Entity Type | Individual |
| Full Name | HESHAM M BAZARAA |
| Credential | MD |
| Practice Address |
1400 S Lake Park Ave Hobart IN 46342-6790 |
| Mailing Address |
757 45th Ave Munster IN 46321-2911 |
| Practice Telephone | 2199451523 |
| Practice Fax Number | 2199451284 |
| Mailing Telephone | 2199342461 |
| Mailing Fax Number | 2199342478 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
01054298A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200340980A | 05 |
| Street Address |
1400 S LAKE PARK AVE |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689984 | Paul J Stanish | Surgery | 1400 S Lake Park Ave, Ste 200, Hobart, IN 46342-6791 | 2005-06-15 |
| 1144734849 | Kristen Nicole Mcging | Nurse Practitioner | 1400 S Lake Park Ave, Hobart, IN 46342-6790 | 2017-11-17 |
| 1003350067 | Tina Crum | Advanced Practice Midwife | 1400 S Lake Park Ave, Hobart, IN 46342-6790 | 2016-12-11 |
| 1609318922 | Megan Doheny | Nurse Practitioner | 1400 S Lake Park Ave, Suite 205, Hobart, IN 46342-6790 | 2016-11-17 |
| 1497103352 | Jennifer R Corsbie | Physician Assistant | 1400 S Lake Park Ave, Suite 200, Hobart, IN 46342-6790 | 2016-06-01 |
| 1144699927 | Kathy Nobles Fnp-c | Clinic/Center | 1400 S Lake Park Ave, Suite 405, Hobart, IN 46342-6790 | 2015-09-22 |
| 1467857136 | Jennifer Lynn Klaich | Nurse Practitioner | 1400 S Lake Park Ave, Suite 300, Hobart, IN 46342-6790 | 2014-10-23 |
| 1104252246 | Community Care Network, Inc | Urology | 1400 S Lake Park Ave, Suite 105, Hobart, IN 46342-6790 | 2013-09-20 |
| 1265752927 | David G. Gross, D.o., P.C. | Optometrist | 1400 S Lake Park Ave, Suite 103, Hobart, IN 46342-6790 | 2010-06-04 |
| 1932427523 | St Mary Medical Center Inc | Obstetrics & Gynecology | 1400 S Lake Park Ave, Ste 205, Hobart, IN 46342-6790 | 2010-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1356306799 | Mohamed F Zeitoun | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-04-19 |
| 1619986379 | Advanced Endocrinology and Diabetes Center | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992344071 | Deaconess Clinc Inc | Internal Medicine | 120 Se 4th St, Evansville, IN 47708-1607 | 2020-01-06 |
| 1568930220 | Impact Physician Group, Indiana, LLC | Internal Medicine | 13219 N Meridian St, Carmel, IN 46032-5480 | 2018-11-10 |
| 1679080683 | Gregory Alan Gaich | Internal Medicine | 5891 N New Jersey St, Indianapolis, IN 46220-2534 | 2017-12-29 |
| 1154833002 | Endocrinology & Diabetes of Indiana LLC | Internal Medicine | 9240 N Meridian St Ste 240, Indianapolis, IN 46260-1876 | 2017-11-01 |
| 1669909388 | Primariahealth, PC | Internal Medicine | 9365 Counselors Row Ste 210, Indianapolis, IN 46240-6418 | 2017-05-11 |
| 1083078943 | James K Malone | Internal Medicine | 5256 N Illinois St, Indianapolis, IN 46208-2636 | 2016-04-07 |
| 1538524491 | John Henry Krege | Internal Medicine | 12443 Pebblepointe Pass, Carmel, IN 46033-9686 | 2015-12-19 |
| 1619301165 | Thomas Andrew Hardy | Internal Medicine | 1417 Stoney Creek Cir, Carmel, IN 46032-9115 | 2013-09-02 |
| 1356781983 | Jose Francisco Caro | Internal Medicine | 1296 Conner St, Noblesville, IN 46060-2911 | 2013-06-27 |
| 1891040762 | Shrikant Uttam Tamhane | Internal Medicine | 1050 Reid Pkwy Ste 300, Richmond, IN 47374-1155 | 2012-07-17 |
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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.