KHADER SAMER-FAYEZ SHAMIEH (NPI# 1225249170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225249170 |
| Entity Type | Individual |
| Full Name | KHADER SAMER-FAYEZ SHAMIEH |
| Credential | M.D. |
| Practice Address |
76 Starbrush Cir Covington LA 70433-7208 |
| Practice Telephone | 8448003472 |
| Mailing Telephone | 8448003472 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 202211 | LA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 44456 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 07910 | 05 |
| Street Address |
76 STARBRUSH CIR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404275 | Intra-op Monitoring Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2006-10-23 |
| 1609316066 | Neuroscience & Pain Institute LLC | Non-Pharmacy Dispensing Site | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-03-06 |
| 1932647971 | Brandie Brunet | Nurse Practitioner | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-02-10 |
| 1619426335 | Pain Associates Institute of Neurosciences | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-09-22 |
| 1457715930 | Garrett Michael Simoneaux | Physician Assistant | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-04-11 |
| 1003281577 | Neuroscience Center of The South | Physical Medicine & Rehabilitation | 76 Starbrush Cir, Covington, LA 70433-7208 | 2015-12-09 |
| 1659616696 | Diagnostic and Interventional Spinal Care of Louisiana | Orthopaedic Surgery | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-12-03 |
| 1447518386 | D'wan J Carpenter | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-04-29 |
| 1447549746 | New Jersey Neurophysiological Monitoring Serivces, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1578852869 | New York Neurophysiological Monitoring Services, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881821668 | Jason Rudd | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Suite 3, Covington, LA 70433-9167 | 2009-06-18 |
| 1649441940 | Blane Adam Sessions | Orthopaedic Surgery | 601 River Highlands Blvd Ste 200, Covington, LA 70433 | 2008-03-14 |
| 1659466845 | Roch Brian Hontas | Orthopaedic Surgery | 71211 Highway 21, Covington, LA 70433-7173 | 2006-10-04 |
| 1831297647 | Daniel W Michael | Orthopaedic Surgery | 77003 Highway 1082, Covington, LA 70435-6725 | 2006-09-20 |
| 1013949619 | Matti W Palo Jr. | Orthopaedic Surgery | 70411 Highway 21, Covington, LA 70433-8103 | 2006-07-06 |
| 1477512135 | Kevin Darr | Orthopaedic Surgery | 19343 Sunshine Ave, Covington, LA 70433-8834 | 2006-03-21 |
| 1417929225 | Paul Mansfield Doty | Orthopaedic Surgery | 1115 S Tyler St, Covington, LA 70433-2327 | 2006-02-06 |
| 1588651137 | Robert T. Greenfield | Orthopaedic Surgery | 3211 Iris Dr, Covington, GA 30016-0907 | 2005-09-29 |
| 1275537920 | Tarek A Nessouli | Orthopaedic Surgery | 3211 Iris Drive, Covington, GA 30016 | 2005-06-10 |
| 1356807663 | Lmg, LLC | Orthopaedic Surgery | 19343 Sunshine Ave, Covington, LA 70433-5160 | 2019-02-12 |
| Find all providers in COVINGTON | ||||
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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.