KHALED A DABASH (NPI# 1114922044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114922044 |
| Entity Type | Individual |
| Full Name | KHALED A DABASH |
| Credential | M.D. |
| Practice Address |
515 E Grant St Macomb IL 61455-3368 |
| Practice Telephone | 3098365437 |
| Practice Fax Number | 3098365417 |
| Mailing Telephone | 3098365437 |
| Mailing Fax Number | 3098365417 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036089170 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036089170 | 05 | |
| IL | BLUE CROSS/BLUE SHIELD | 5522926 | 01 |
| IL | HEALTH ALLIANCE | 010060 | 01 |
| Street Address |
515 E GRANT ST |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194965 | Brittany Ann Cromer | Registered Nurse | 515 E Grant St, Suite 213, Macomb, IL 61455 | 2020-02-04 |
| 1407300627 | Kamie Dee Mckee | Nurse Practitioner | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2016-08-04 |
| 1881032985 | Mcdonough County Hospital District | Otolaryngology | 515 E Grant St, Macomb, IL 61455-3368 | 2013-06-11 |
| 1780935197 | Jeffrey Ryan Sparks | Otolaryngology | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2012-09-25 |
| 1245526680 | Weili Zhang | Family Medicine | 515 E Grant St, Suite 213, Macomb, IL 61455-3368 | 2011-06-23 |
| 1568789618 | Mcdonough County Hospital District | Family Medicine | 515 E Grant St, Macomb, IL 61455-3368 | 2010-04-29 |
| 1235383951 | Mcdonough County Hospital District | Surgery | 515 E Grant St, Suite 211, Macomb, IL 61455-3368 | 2008-11-07 |
| 1255504627 | James Joseph Gonzales | Surgery | 515 E Grant St, Ste 211, Macomb, IL 61455-3368 | 2008-04-08 |
| 1568519809 | Robyn Alley-hay, M.d. Woman To Woman | Obstetrics & Gynecology | 515 E Grant St, Suite 112, Macomb, IL 61455-3368 | 2007-01-05 |
| 1194750950 | Ronald E Whitley | Surgery | 515 E Grant St, Suite 211, Macomb, IL 61455-3368 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063563476 | Yasser Mohamed Hassane | Pediatrics | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2007-01-13 |
| 1356430664 | Medical Group of Macomb, LLC | Pediatrics | 505 E Grant St Ste 103, Macomb, IL 61455-3308 | 2006-10-12 |
| 1376632208 | David Robert Mandy | Pediatrics | 46600 Romeo Plank Rd, Suite 4, Macomb, MI 48044-5741 | 2006-10-11 |
| 1073616173 | Azra Hakimi | Pediatrics | 46591 Romeo Plank, Suite 131, Macomb, MI 48044 | 2006-09-06 |
| 1407896921 | Renee Lindahl Catrambone | Pediatrics | 46591 Romeo Plank Rd Ste 205, Macomb, MI 48044-5705 | 2006-06-07 |
| 1124013750 | Mohammad S Saberi | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2005-09-20 |
| 1447780754 | Ruhel Ahmad | Pediatrics | 46591 Romeo Plank Rd Ste 205, Macomb, MI 48044-5705 | 2017-06-19 |
| 1619323466 | David R Mandy Do, PC | Pediatrics | 46600 Romeo Plank Rd, Suite 4, Macomb, MI 48044-5741 | 2016-05-11 |
| 1134559735 | Y Hassane Md PC | Pediatrics | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2013-11-18 |
| 1356698310 | Mcdonough County Hospital District | Pediatrics | 505 E Grant St, Suite 202, Macomb, IL 61455-3352 | 2012-08-09 |
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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.