OUSAMA ALKHATIB (NPI# 1093283905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093283905 |
| Entity Type | Individual |
| Full Name | OUSAMA ALKHATIB |
| Credential | MD |
| Practice Address |
1690 Dunlawton Ave Ste 210 Port Orange FL 32127-8980 |
| Mailing Address |
53 City Stroll # 2 Irvine CA 92620-3883 |
| Practice Telephone | 3867634920 |
| Mailing Telephone | 9493516844 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
134369 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1690 DUNLAWTON AVE STE 210 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-8980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814177 | Matthew John Morrison | Physician Assistant | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2005-10-12 |
| 1962003251 | Jessica Crowell | Nurse Practitioner | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2020-11-04 |
| 1710527056 | Adrijana Mijatovic | Nurse Practitioner | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2020-01-15 |
| 1659643120 | Atlantic Medical Services, LLC | Clinical Medical Laboratory | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2012-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1003150715 | Vrushak Deshpande | Internal Medicine | 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2349 | 2012-11-19 |
| 1487684171 | Hassan Zulfiqar | Internal Medicine | 1690 Dunlawton Ave, Suite # 210, Port Orange, FL 32127-8980 | 2006-07-05 |
| 1699775619 | Louis Michael Agnone | Internal Medicine | 3635 S. Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 | 2005-08-01 |
| 1033116975 | Gregory J. Stella | Internal Medicine | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2005-07-07 |
| 1427498724 | Town Center Medical Services, LLC | Internal Medicine | 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980 | 2013-07-01 |
| 1669779906 | Imacs, LLC | Internal Medicine | 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980 | 2011-02-23 |
| 1104056860 | Juan Pablo Blum Guzman | Internal Medicine | 3635 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | 2009-07-15 |
| 1336262146 | Ketul Raman Patel | Internal Medicine | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2007-04-08 |
| 1396850152 | Sunil P Pasricha | Internal Medicine | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | 2006-08-20 |
| 1790790277 | Advanced Gastroenterology Health Care Centers | Internal Medicine | 1690 Dunlawton Ave, Suite 210, Port Orange, FL 32127-8980 | 2006-07-31 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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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.