KHALED ELSAYED AHMED EISSA (NPI# 1124257928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124257928 |
| Entity Type | Individual |
| Full Name | KHALED ELSAYED AHMED EISSA |
| Credential | MD |
| Practice Address |
Lahey Hospital and Medical Ctr 41 Mall Road Burlington MA 01805-0001 |
| Mailing Address |
Lahey Hospital and Medical Ctr 41 Mall Road Burlington MA 01805-0001 |
| Practice Telephone | 7817448000 |
| Mailing Telephone | 7817448000 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
266466 | MA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
266466 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407903776 | Khaled Eissa | Dentist | 1935 Dainty Way, Hemet, CA 92545-8960 | 2007-01-05 |
| Street Address |
LAHEY HOSPITAL AND MEDICAL CTR 41 MALL ROAD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and 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 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 |
|---|---|---|---|---|
| 1780650382 | Ryan D. Clouser | Internal Medicine | 89 Beaumont Ave, Given D208, Burlington, VT 05405-1742 | 2006-02-24 |
| 1639515414 | Katelin Marie Morrissette | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-05-20 |
| 1639463292 | Joshua Giaccotto | Internal Medicine | 41 Mall Rd, Burlington, MA 01805 | 2011-06-01 |
| 1366757783 | Tamar Shoshana Geva | Internal Medicine | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2010-08-10 |
| 1063724144 | Armc Physicians Care Inc | Internal Medicine | 1240 Huffman Mill Rd, Burlington, NC 27215-8700 | 2010-07-06 |
| 1962734368 | Adam J. Smith | Internal Medicine | 41 Mall Road, Lahey Hospital & Medical Center, Burlington, MA 01805 | 2010-02-10 |
| 1609009158 | Matthew P. Gilman | Internal Medicine | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2009-09-01 |
| 1750524278 | Alexander Panda | Internal Medicine | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2009-04-14 |
| 1841481330 | Michael Colancecco | Internal Medicine | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2007-08-08 |
| 1710187331 | Ghazwan Acash | Internal Medicine | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2007-07-22 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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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.