DR. MEDHAT YOUSSEF ZAKHER FANOUS (NPI# 1134394661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134394661 |
| Entity Type | Individual |
| Full Name | DR. MEDHAT YOUSSEF ZAKHER FANOUS |
| Credential | M.D. |
| Practice Address |
1500 W Ice Lake Rd Iron River MI 49935-8509 |
| Mailing Address |
1400 W Ice Lake Rd Iron River MI 49935-9526 |
| Practice Telephone | 9062659001 |
| Mailing Telephone | 9062656121 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301091790 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1134394661 | 05 |
| Street Address |
1500 W ICE LAKE RD |
| City | IRON RIVER |
| State | MI |
| Zip Code | 49935-8509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483762 | Terrance P Kearney | Family Medicine | 1500 W Ice Lake Rd, Iron River, MI 49935-8509 | 2005-08-02 |
| 1386102523 | Heather Bennett | Nurse Practitioner | 1500 W Ice Lake Rd, Iron River, MI 49935-8509 | 2019-03-06 |
| 1790033207 | Dlp Marquette Physician Practices Inc | Family Medicine | 1500 W Ice Lake Rd, Iron River, MI 49935-8509 | 2012-08-15 |
| 1124241666 | Michael Harrison Yard | Family Medicine | 1500 W Ice Lake Rd, Iron River, MI 49935-8509 | 2007-04-11 |
| 1770699167 | Nasseem Farhan Rizkalla | Surgery | 1500 W Ice Lake Rd, Iron River, MI 49935-8509 | 2006-08-21 |
| 1700847977 | Marquette General Hospital, Inc. | Family Medicine | 1500 W Ice Lake Rd, Iron River, MI 49935-8509 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865198 | Aspirus Iron River Hospital & Clinics, Inc. | Clinic/Center | 814 South Ice Lake Road, Iron River, MI 49935 | 2017-11-16 |
| 1659807808 | Shannon Koski | Specialist/Technologist | 1800 N Verona Ave, Iron River, MI 49935 | 2017-05-10 |
| 1912166166 | Rk Atanasoff Od PC | Optometrist | 131 W Genesee St, Iron River, MI 49935 | 2008-06-03 |
| 1215102272 | Aspirus Iron River Hospital & Clinics, Inc. | Pathology | 1400 West Ice Lake Road, Iron River, MI 49935 | 2008-04-29 |
| 1164620555 | Mary Jo Rohde | Social Worker | 1201 Stambough Ave, Iron River, MI 49935 | 2007-07-06 |
| 1861693848 | Michael Wallace Varney | Psychologist | 217 North 10th Avenue, Iron River, MI 49935 | 2007-05-29 |
| 1962616623 | Advanced Care Smile Center Inc | Dentist | 528 N 1st Avenue, Iron River, MI 49935 | 2007-05-10 |
| 1376551788 | Raymond Krist Atanasoff | Optometrist | 131 W Genesee Street, Iron River, MI 49935 | 2006-08-03 |
| 1205873510 | Raymond J Meyers | Nurse Anesthetist, Certified Registered | 1400 Ice Lake Rd., Iron River, MI 49935 | 2006-06-02 |
| 1497750830 | Aspirus Iron River Hospital & Clinics, Inc. | General Acute Care Hospital | 1400 W Ice Lake Rd, Iron River, MI 49935 | 2005-06-14 |
| Find all providers in zip 49935 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1770699167 | Nasseem Farhan Rizkalla | Surgery | 1500 W Ice Lake Rd, Iron River, MI 49935-8509 | 2006-08-21 |
| 1962482828 | Sharon R Hayward | Surgery | 1400 W Ice Lake Rd, Iron River, MI 49935-9526 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475237 | Dr Dayhim Pllc | Surgery | 12203 Shearwater Cir, Commerce Township, MI 48390-4260 | 2020-07-28 |
| 1922624923 | Dr Anthony Joseph Md Pllc | Surgery | 2330 S Milford Rd Ste 120, Highland, MI 48357-4982 | 2020-06-25 |
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1922623081 | Joon B Kim | Surgery | 1200 Michigan Ave Ste 655, East Lansing, MI 48823-4099 | 2020-06-14 |
| 1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
| 1184245771 | Upper Michigan Associates LLC | Surgery | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1487275509 | Erika C Michelin | Surgery | 28080 Grand River Ave Ste 208, Farmington Hills, MI 48336-5966 | 2020-04-29 |
| 1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
| 1801454871 | Dakita Mack | Surgery | 28050 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5919 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | IRON RIVER |
| Zip Code | 49935 |
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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.