DR. SHEKU M IDRISS (NPI# 1104926526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104926526 |
| Entity Type | Individual |
| Full Name | DR. SHEKU M IDRISS |
| Credential | MD |
| Practice Address |
1821 Fulton St Harrisburg PA 17102-1522 |
| Practice Telephone | 7172303906 |
| Practice Fax Number | 7172303914 |
| Mailing Telephone | 7172303906 |
| Mailing Fax Number | 7172303914 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS009974L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1821 FULTON ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17102-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624387 | Barbara A Black | Podiatrist | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2005-10-28 |
| 1497010664 | Justin M Berman | Physician Assistant | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2012-07-12 |
| 1053581793 | Javed Ahmad Bhatti | Pharmacist | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2008-03-10 |
| 1457544405 | April Trout | Registered Nurse | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2007-08-23 |
| 1033256763 | Hamilton Health Center | Clinic/Center | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2007-01-31 |
| 1861590580 | Nse Akpe | Physician Assistant | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2006-09-20 |
| 1760589758 | Ivona Pesek Diamond | Pediatrics | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2006-09-20 |
| 1750489548 | Margery L Wasko | Pediatrics | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2006-09-20 |
| 1104924539 | Arthur Leroy Williams II | Internal Medicine | 1821 Fulton St, Harrisburg, PA 17102-1522 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295278901 | Harrisburg Area Ymca | Health Educator | 805 N Front St, Harrisburg, PA 17102 | 2016-11-29 |
| 1548630551 | Harrisburg Medical Partners, LLC | Nurse Practitioner | 2023 North 2nd Street, Suite 111, Harrisburg, PA 17102 | 2015-10-02 |
| 1356730501 | Rachel Claire Clark | Social Worker | 206 Reily Street, Harrisburg, PA 17102 | 2015-01-12 |
| 1497185359 | Alfred Roger Chappelka Jr. | Internal Medicine | 1525 N. Front St Unit 202, Harrisburg, PA 17102 | 2013-11-13 |
| 1609976661 | Genesis House Harrisburg | Counselor | 2901 N Sixth Street, Harrisburg, PA 17102 | 2006-09-22 |
| 1356887665 | Christopher Cappabianco | Counselor | 900 N 6th St, Harrisburg, PA 17102 | 2017-01-10 |
| 1861968125 | Hamilton Health Center, Inc | Clinic/Center | 1315 N 6th St, Harrisburg, PA 17102-1217 | 2018-10-15 |
| 1154591345 | Hamilton Health Center, Inc. | Clinic/Center | 1301 N 6th St, Harrisburg, PA 17102-1249 | 2008-03-04 |
| 1093067910 | Genesis Healthcare Corporation | Skilled Nursing Facility | 1801 N 5th Street, Harrisburg, PA 17102-1510 | 2012-10-03 |
| 1013266659 | Julie Lyn Cope | Occupational Therapist | 1901 N. Fifth Street, Harrisburg, PA 17102-1510 | 2012-08-29 |
| Find all providers in zip 17102 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1457795171 | Sarah Elizabeth Nickolich | Family Medicine | 121 N Nyes Rd Ste F, Harrisburg, PA 17112-3248 | 2013-04-24 |
| 1083989883 | Urgent Cares of America North Carolina Inc | Family Medicine | 4415 Schoolhouse Commons, Harrisburg, NC 28075-7460 | 2012-03-13 |
| 1982975108 | Thomas Raymond Czarnecki | Family Medicine | 4101 Ridgeview Road, Harrisburg, PA 17112 | 2012-01-19 |
| 1659508760 | Samuel Looker | Family Medicine | 4984 Westchester Dr, Harrisburg, PA 17112-2184 | 2009-06-16 |
| 1881854461 | Bernadatte Georga Gilbert | Family Medicine | 121 Nyes Road, Suite A, Penn State Medical Group Nyes Road - Family Medicine I, Harrisburg, PA 17112 | 2008-06-16 |
| 1649445800 | Raselette Agatha Hunt | Family Medicine | 2292 Forest Ln, Harrisburg, PA 17112-6004 | 2008-04-28 |
| 1114094851 | James O Alexander | Family Medicine | 901 S Commercial St, Harrisburg, IL 62946-2640 | 2006-11-29 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17102 |
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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.