DR. TAMER ISMAIL FAWZY (NPI# 1154665735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154665735 |
| Entity Type | Individual |
| Full Name | DR. TAMER ISMAIL FAWZY |
| Credential | PH.D., LPCC |
| Practice Address |
6300 W Old Shakopee Rd Ste 102 Bloomington MN 55438-2684 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 9528002226 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
539 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6300 W OLD SHAKOPEE RD STE 102 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837905 | Meron Berhane | Assistant Behavior Analyst | 6300 W Old Shakopee Rd Ste 102, Bloomington, MN 55438-2684 | 2020-10-06 |
| 1588203459 | Hopebridge LLC | Behavioral Analyst | 6300 W Old Shakopee Rd Ste 102, Bloomington, MN 55438-2684 | 2019-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| Find all providers in zip 55438 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075162 | Angela Emily Brodine | Counselor | 5301 Hyland Greens Dr Apt 702, Bloomington, MN 55437-3909 | 2019-10-23 |
| 1184280141 | Holly Ann Wonders Myers | Counselor | 209 S Prospect Rd Ste 1, Bloomington, IL 61704-4697 | 2019-05-15 |
| 1326502246 | Jacqueline Clare Vermaat | Counselor | 418 N Main St Fl 1, Bloomington, IL 61701-3916 | 2019-01-24 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1891286191 | Jefferson Williams | Counselor | 211 N Veterans Pkwy Ste 1, Bloomington, IL 61704-3568 | 2018-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1437663275 | Counseling Resource Institute LLC | Counselor | 2422 E Washington St Ste 107, Bloomington, IL 61704-1611 | 2017-11-30 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1457728206 | Faye Freeman-smith | Counselor | 2416 E Washington St Ste A2, Bloomington, IL 61704-1608 | 2015-08-27 |
| 1902289994 | John Leslie Freshour | Counselor | 616 Iaa Dr, Bloomington, IL 61701-2225 | 2015-07-08 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
Please comment or provide details below to improve the information on DR. TAMER ISMAIL FAWZY.
| 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.