ESSAM A. MONTASIR (NPI# 1073681524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073681524 |
| Entity Type | Individual |
| Full Name | ESSAM A. MONTASIR |
| Credential | M.D. |
| Practice Address |
236 Simpson Ave Elkhart IN 46516-4666 |
| Practice Telephone | 5742930052 |
| Practice Fax Number | 5742931739 |
| Mailing Telephone | 5742930052 |
| Mailing Fax Number | 5742931739 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 063440 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMERCIAL-COMMERCIAL NUMBER | MM063440 | 01 | |
| MI | 308046210 | 05 | |
| CHAMPUS-CHAMPUS | MM063440 | 01 | |
| BLUE CROSS-BLUE CROSS | 700H262220 | 01 |
| Street Address |
236 SIMPSON AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46516-4666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739639 | Martina A Green-mcgowan | Obstetrics & Gynecology | 236 Simpson Ave, Elkhart, IN 46516 | 2005-06-13 |
| 1023640117 | Cecilia Mumbi Maina | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2020-02-07 |
| 1356900773 | Sheila Marie Clark | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2019-06-10 |
| 1902371172 | Trisha Loray Thrash | Dental Hygienist | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2018-10-03 |
| 1033633656 | Lorraine Doris Swartzentruber | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-07-26 |
| 1437698271 | Angelina Theresa Panford | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-02-13 |
| 1508304304 | Andrea Lynn Miller | Registered Nurse | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-02-01 |
| 1083156012 | Cari Balmer | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2016-11-08 |
| 1578935235 | Dawn Boughton | Counselor | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2015-10-21 |
| 1225441751 | Terry Poindexter | Counselor | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2014-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| 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 |
|---|---|---|---|---|
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1477868180 | Muhammad Omer Toor | Internal Medicine | 1215 Lawn Ave Ste 102, Elkhart, IN 46514-2450 | 2010-08-18 |
| 1316944879 | Belino Derocho Iway | Internal Medicine | 411 Sunset Dr, Elkhart, KS 67950 | 2005-06-30 |
| 1326042102 | Gurudutt B. Kulkarni | Internal Medicine | 500 Arcade Ave, Ste 400, Elkhart, IN 46514-2477 | 2005-06-09 |
| 1578566675 | Pavan Ahuja | Internal Medicine | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2005-05-23 |
| 1851753040 | Rabia Mohammad | Internal Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2016-03-25 |
| 1215396148 | Muhammad Muneeb Arif Mufti | Internal Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2016-02-20 |
| 1770954992 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave Ste 210, Elkhart, IN 46514-2485 | 2015-10-14 |
| 1073922522 | Muhammad A Saeed | Internal Medicine | 500 Arcade Ave Ste 210, Elkhart, IN 46514-2485 | 2014-08-08 |
| 1205244092 | Raul Lastimosa | Internal Medicine | 411 Sunset St, Elkhart, KS 67950-5001 | 2014-07-24 |
| Find all providers in ELKHART | ||||
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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.