SHAHBAZ QAVI (NPI# 1073831160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073831160 |
| Entity Type | Individual |
| Full Name | SHAHBAZ QAVI |
| Practice Address |
107 S Washington St Ste C Kokomo IN 46901-4601 |
| Mailing Address |
Po Box 5748 Lafayette IN 47903-5748 |
| Practice Telephone | 7654506735 |
| Mailing Telephone | 7657144344 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
01075199B | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201310380 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 Michigan Ave Ste 30, Logansport, IN 469471528 | 5747537541 | |
| 613 Terrace Dr, Winamac, IN 469961111 | 5749464290 | |
| 412 N Monroe St, Williamsport, IN 479931049 | 7654627000 | |
| 770 Park East Blvd Ste B, Lafayette, IN 479050786 | 7657144344 |
| Street Address |
107 S WASHINGTON ST STE C |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730585654 | Lafayette Pain Care PC | Durable Medical Equipment & Medical Supplies | 107 S Washington St Ste C, Kokomo, IN 46901 | 2014-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225084155 | Pattanam Dorai Srinivasan | Anesthesiology | 613 W Lincoln Rd Ste A, Kokomo, IN 46902-3460 | 2006-05-25 |
| 1770846008 | Daniel Diep Tran | Anesthesiology | 3512 S Lafountain St, Kokomo, IN 46902-3803 | 2012-06-21 |
| 1184868176 | Board of Trustees of Howard Community Hospital | Anesthesiology | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429509 | Apollo Pain Center, LLC | Anesthesiology | 1458 S Jackson St, Frankfort, IN 46041-3315 | 2020-05-19 |
| 1215497763 | Hendricks County Hospital | Anesthesiology | 8244 E Us Highway 36 Ste 150, Avon, IN 46123-5526 | 2019-03-21 |
| 1881081552 | Aapolo Spine and Pain Management Center | Anesthesiology | 4215 N 210 E, Marion, IN 46952-6634 | 2015-04-21 |
| 1629488002 | Shaan Khan | Anesthesiology | 500 Legacy Plz W, La Porte, IN 46350-5254 | 2014-05-06 |
| 1578800561 | Complete Pain Care LLC | Anesthesiology | 10744 E Us Highway 36, Avon, IN 46123-7982 | 2013-01-10 |
| 1710282439 | Unity Healthcare, LLC | Anesthesiology | 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 | 2011-01-12 |
| 1750522660 | Nicolaus D Winters | Anesthesiology | 7145 E Virginia St Ste 5000, Evansville, IN 47715-9143 | 2009-03-23 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1669500229 | Advanced Pain Management Surgery,inc | Anesthesiology | 4010 W Goeller Blvd, Suite C, Columbus, IN 47201-8892 | 2007-03-02 |
| 1912084369 | Daniel Howard Nolan | Anesthesiology | 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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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.