DR. MARWAN DIB (NPI# 1225346414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225346414 |
Entity Type | Individual |
Full Name | DR. MARWAN DIB |
Credential | MD |
Practice Address |
855 N Westhaven Dr Oshkosh WI 54904-7668 |
Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
Practice Telephone | 9200303870 |
Mailing Telephone | 4143892377 |
Enumeration Date | 2010-09-22 |
Last Update Date | 2020-07-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 125055543 | IL | Allopathic & Osteopathic Physicians |
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036151153 | IL | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
64438 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100045134 | 05 | |
WI | WI LICENSE | 64438 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1025 Maine St, Quincy, IL 623014038 | 2172226550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609033844 | Marwan Marc Dib | Physician Assistant | #1 Healthcare Drive, Philippi, WV 26416 | 2008-05-16 |
Street Address |
855 N WESTHAVEN DR |
City | OSHKOSH |
State | WI |
Zip Code | 54904-7668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316942212 | Jeffrey H Goldman | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2005-06-16 |
1336766971 | Jason R Schultz | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-06-30 |
1437771078 | Kyle Rozek | Physical Therapy Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-05-16 |
1447870050 | Inshirah V Robinson | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-04-23 |
1902433022 | Paige Weigandt | Massage Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-03-26 |
1700418944 | Michelle Hill | Pharmacist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-02-05 |
1306483854 | Ashley Rose Heesacker | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-12-03 |
1730730730 | Brittany L Hood | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-09-23 |
1821645391 | Jenna Rose Daun | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
1659928141 | Troy Mcgilligan | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
Find all providers in zip 54904 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740788025 | Cardiac Cin of Milwaukee LLC | Internal Medicine | 310 E Buffalo St Ste 201, Milwaukee, WI 53202-5808 | 2018-01-31 |
1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
1669765681 | Nolan P Machernis | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 474, Milwaukee, WI 53215-3693 | 2011-05-24 |
1437123049 | Harinder Singh Gill | Internal Medicine | 1111 Delafield Street, Suite 215, Waukesha, WI 53188-3403 | 2006-02-13 |
1912998576 | Thomas G Fenske | Internal Medicine | 2801 W. Kinnickinnic River Pkwy., Suite 925, Milwaukee, WI 53215 | 2005-11-02 |
1437660487 | Dr Ayhan Zia Sc | Internal Medicine | 2741 W Layton Ave, Milwaukee, WI 53221-2600 | 2017-10-17 |
1861734014 | Sean Michael Sliman | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2013-03-25 |
1730436817 | Muhammad Shahreyar | Internal Medicine | 3801 Spring St, Mount Pleasant, WI 53405 | 2012-08-08 |
1811216229 | Iyad Azzam | Internal Medicine | 36500 Aurora Dr, Summit, WI 53066 | 2010-05-25 |
1306161500 | Gaurav Tyagi | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2010-03-30 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. MARWAN DIB.
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.