DR. OBEID NOOR ILAHI (NPI# 1225088891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225088891 |
| Entity Type | Individual |
| Full Name | DR. OBEID NOOR ILAHI |
| Credential | MD |
| Practice Address |
4901 Forest Park Ave Ste 420 Ste 420 Saint Louis MO 63108-1453 |
| Mailing Address |
660 S Euclid Ave C B 8109 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143629347 |
| Practice Fax Number | 3143625743 |
| Mailing Telephone | 3143629347 |
| Mailing Fax Number | 3143625743 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2014032444 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2014032444 | MO | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
2014032444 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 |
| Street Address |
4901 FOREST PARK AVE STE 420 STE 420 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073740890 | Chun-cheng Chen | Surgery | 4901 Forest Park Ave Ste 420, Ste 420, Saint Louis, MO 63108-1453 | 2009-06-18 |
| 1770723082 | Michael L Havenar | Nurse Practitioner | 4901 Forest Park Ave Ste 420, Ste 420, Saint Louis, MO 63108-1453 | 2009-02-26 |
| 1194975441 | Isaiah Richard Turnbull | Anesthesiology | 4901 Forest Park Ave Ste 420, Ste 420, Saint Louis, MO 63108-1453 | 2008-09-23 |
| 1447419320 | Jason A Snyder | Anesthesiology | 4901 Forest Park Ave Ste 420, Ste 420, Saint Louis, MO 63108-1453 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861810111 | Abbie May Jensen | Surgery | 615 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8221 | 2014-04-03 |
| 1356561609 | St Louis University | Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-27 |
| 1669529657 | Stanley A. Sakabu | Surgery | 621 S New Ballas Rd, Suite 560-a, Saint Louis, MO 63141-8232 | 2007-01-04 |
| 1275637498 | Aaron Scifres | Surgery | 3635 Vista, 3rd Floor, Saint Louis, MO 63110 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457521478 | Manuel Almendral Castasus | Surgery | 884 Woodsmill Road, Ttg Locum Tenens, Ballwin, MO 63011 | 2008-03-05 |
| 1205907359 | Dennis M Arce Md | Surgery | 6420 Prospect Ave Ste 311, Kansas City, MO 64132-4130 | 2006-11-12 |
| 1811087547 | Hillary Aa Chollet Md PC | Surgery | 6400 Prospect Ave Ste 338, Kansas City, MO 64132-1100 | 2006-10-13 |
| 1063468361 | Midwest Trauma Services, LLC | Surgery | 2330 East Meyer Blvd, T-207, Kansas City, MO 64132-4147 | 2006-05-26 |
| 1285684167 | Pascal Nyachowe | Surgery | 4320 Wornall Rd Ste 5320, Kansas City, MO 64111-5941 | 2006-05-11 |
| 1760934889 | Glenarm Acute Surgical Specialists LLC | Surgery | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2016-10-25 |
| 1194019968 | Kevin Clay Christian | Surgery | 3800 S National Ave, 4th Floor, Springfield, MO 65807-5209 | 2011-06-08 |
| 1316262793 | Jennifer Marie Laplante | Surgery | 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301-2882 | 2010-03-29 |
| 1922236314 | Jeffrey Ray Simpson | Surgery | 2330 E Meyer Blvd, Ste 207, Kansas City, MO 64132-1132 | 2009-06-24 |
| 1457504722 | Leo Andrew Osifuye Benedict | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111 | 2008-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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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.