ANAS ABDEL AZIM (NPI# 1104131143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104131143 |
| Entity Type | Individual |
| Full Name | ANAS ABDEL AZIM |
| Credential | M.D., M.SC |
| Practice Address |
160 Academy Ave Greenwood SC 29646-3808 |
| Mailing Address |
9500 Euclid Ave Cleveland OH 44195-0001 |
| Practice Telephone | 8642238090 |
| Practice Fax Number | 8642234026 |
| Mailing Telephone | 2164442200 |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
82179 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
160 ACADEMY AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679241 | Jeffrey Bernard Thomas | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2005-09-12 |
| 1578123840 | Victoria Ghahhari | Physician Assistant | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-18 |
| 1801454046 | Michael Phelps | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-03 |
| 1124488895 | Self Medical Group | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2016-02-24 |
| 1184098832 | Dixie L Timms | Physician Assistant | 160 Academy Ave, Greenwood, SC 29646-3808 | 2015-11-18 |
| 1497049811 | Debbie Harling | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2011-06-02 |
| 1487894069 | Anit S Vettukattil | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2009-02-23 |
| 1134380678 | Kevin L. Morton | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2008-06-18 |
| 1720194178 | Angelia Graham Bell | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2006-08-21 |
| 1639285083 | John David Konsek | Surgery | 160 Academy Ave, Greenwood, SC 29646 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962952689 | Capel Vascular Center, LLC | Surgery | 408 E Washington St, Greenwood, MS 38930-4539 | 2016-10-05 |
| 1508145855 | Greenwood Leflore Hospital | Surgery | 501 W Washington St, Greenwood, MS 38930 | 2011-08-04 |
| 1962603886 | Alain L Domkam-fondjo | Surgery | 302 8th St, Greenwood, MS 38930-4014 | 2007-05-29 |
| 1619083060 | Jeffrey E Lanford | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2006-08-21 |
| 1154437515 | Greenwood Surgical Assoc. | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2006-08-21 |
| 1184683542 | Greenwood Leflore Hospital | Surgery | 302 8th St, Greenwood, MS 38930 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1043766017 | Charleston Vascular Surgery, P.C. | Surgery | 1280 Hospital Drive, Suite 302, Charleston Vascular Surgery, P.C., Mount Pleasant, SC 29464-1901 | 2016-08-30 |
| 1104237338 | William Jackson | Surgery | 101 S Ravenel St Ste 230, Florence, SC 29506-2624 | 2014-05-09 |
| 1962765081 | Goatee Vascular LLC | Surgery | 4036 River Oaks Dr, Unit B2, Myrtle Beach, SC 29579-6695 | 2012-06-22 |
| 1518149350 | Thomas Russell Wieters, M.d., P.a. | Surgery | 3070 Highway 17 N, Suite 202, Mount Pleasant, SC 29466-9300 | 2007-12-04 |
| 1801985007 | Thomas C. Appleby | Surgery | 1327 Ashley River Road, Building B, Charleston, SC 29407 | 2006-10-12 |
| 1962519546 | Mary Black Health System LLC | Surgery | 1690 Skylyn Dr Ste 350, Spartanburg, SC 29307-1039 | 2006-08-23 |
| 1164536215 | Sean J Hislop | Surgery | 1327 Ashley River Rd, Charleston, SC 29407-5384 | 2006-08-18 |
| 1881600963 | Louis F Knoepp IIi | Surgery | 100 Health Way, Suite 1240, Anderson, SC 29621-7917 | 2006-07-31 |
| 1659321115 | Robert C. Allen | Surgery | 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732-1824 | 2006-05-12 |
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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.