DR. MATTHEW WILLIAM MUBARAK


Address: 2113 Adams Grv Ste 101, Columbia, SC 29203-6957
Phone: 8032560531

DR. MATTHEW WILLIAM MUBARAK (NPI# 1174978605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174978605
Entity Type Individual
Full Name DR. MATTHEW WILLIAM MUBARAK
Credential M.D.
Practice Address 2113 Adams Grv Ste 101
Columbia
SC 29203-6957
Mailing Address 7901 Farrow Rd
Columbia
SC 29203-3220
Practice Telephone 8032560531
Practice Fax Number 8037659052
Mailing Telephone 8032560531
Mailing Fax Number 8037659052
Enumeration Date 2016-05-03
Last Update Date 2020-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 82385 SC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2000 Sw Archer Rd, Gainesville, FL 326081136 3522658250

Office Location

Street Address 2113 ADAMS GRV STE 101
City COLUMBIA
State SC
Zip Code 29203-6957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952335077 Karen Mae Waganer Nurse Practitioner 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 2006-07-11
1740543537 Elizabeth C Donahue Pediatrics 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 2012-06-18
1972899417 Nazia Aslam Jones Pediatrics 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 2011-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
Find all providers in zip 29203

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972128742 Emily Anne Cloessner Pediatrics Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-06-08
1043833890 Lauren F. Cook Pediatrics Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-05-27
1619598158 Zeel Hiren Patel Pediatrics Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-05-06
1427695824 Naseem Khan Pediatrics 10851 Clarksville Pike, Columbia, MD 21044-1338 2019-12-04
1164089124 Mercy Clinic Illinois, LLC Pediatrics 1019 Valmeyer Rd, Columbia, IL 62236-4123 2019-05-24
1629568480 Heather Kay Lynn Pediatrics Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 2018-05-16
1174013932 Dalton Mark Renick Pediatrics Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2018-05-16
1033630330 Brian Bradley Johnson Pediatrics Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2017-06-28
1316350226 Duncan Lee Norton Pediatrics 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 2014-06-09
1225440910 Michael Mitchell Pediatrics 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 2014-05-29
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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