FAIZAN ALI KHAN (NPI# 1194022541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194022541 |
| Entity Type | Individual |
| Full Name | FAIZAN ALI KHAN |
| Practice Address |
2 Good Samaritan Way Ste 420 Mount Vernon IL 62864-2478 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-2484 |
| Practice Telephone | 6188994000 |
| Mailing Telephone | 7012342000 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
61636 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Oakdale Ave N, Robbinsdale, MN 554222926 | 7635205200 | 7632578356 |
| 1300 Anne St Nw, Bemidji, MN 566015103 | 2183335000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417478280 | Faizan Khan | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-07-03 |
| Street Address |
2 GOOD SAMARITAN WAY STE 420 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268521 | Gregory Szych | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-03-09 |
| 1295192805 | Tamara Copeland | Nurse Practitioner | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2016-01-27 |
| 1215311683 | Chandra Kanth Chaturvedula | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2015-07-16 |
| 1144649856 | Tyler Wishau | Podiatrist | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2014-04-09 |
| 1689810855 | Marc Louis Sabatino | Physical Medicine & Rehabilitation | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2008-12-18 |
| 1396919544 | Naga Srinivas Sirikonda | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2008-04-18 |
| 1437210341 | Richard Chernecky | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-12-13 |
| 1649280793 | Louis Clarence Remynse IIi | Urology | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-08-09 |
| 1841239316 | Michelle Burwell | Physician Assistant | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1861925430 | Ohio Digestive and Liver Associates LLC | Internal Medicine | 503 Wooster Rd, Mount Vernon, OH 43050-1486 | 2017-04-10 |
| 1730421355 | Joshua Hartman | Internal Medicine | 540 Gramatan Ave, Mount Vernon, NY 10552-2104 | 2013-03-21 |
| 1841268521 | Gregory Szych | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-03-09 |
| 1093970576 | Sankar S Alagugurusamy | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2008-07-23 |
| 1790820546 | Donald E. Wakelin | Internal Medicine | 1400 E. Kincaid St., Skagit Regional Clinics, Mount Vernon, WA 98274-4127 | 2007-02-20 |
| 1437210341 | Richard Chernecky | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-12-13 |
| 1730260761 | Kalyan S. Wadwa | Internal Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2006-10-18 |
| 1063478451 | Donald W. Wadland | Internal Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2006-04-25 |
| 1417944463 | John S Halsey | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.