SAMI M AWADALLAH (NPI# 1265408728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265408728 |
Entity Type | Individual |
Full Name | SAMI M AWADALLAH |
Credential | M.D. |
Practice Address |
1417 S. Cliff Ave Ste. 010 Sioux Falls SD 57105-1014 |
Mailing Address |
2400 S. Minnesota Ave Ste 100 Sioux Falls SD 57105-3762 |
Practice Telephone | 6053223666 |
Practice Fax Number | 6053223665 |
Mailing Telephone | 6053227510 |
Mailing Fax Number | 6053226475 |
Enumeration Date | 2006-02-24 |
Last Update Date | 2013-12-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
3446 | SD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | PREFERRED ONE | 722801028065 | 01 |
IA | 1976670 | 05 | |
SD | DAKOTACARE | 3446 | 01 |
SD | WPS TRICARE | 57105I003 | 01 |
ND | 13414 | 05 | |
SD | DEPT OF LABOR | 370624200 | 01 |
NE | 46022474339 | 05 | |
SD | HEALTHPARTNERS | HP24496 | 01 |
SD | BLUE CROSS | 0008229 | 01 |
SD | RR MEDICARE | 370019670 | 01 |
SD | 6002362 | 05 | |
SD | MIDLANDS CHOICE | 7958 | 01 |
MN | BLUE CROSS | 034T5AW | 01 |
SD | ARAZ/ AMERICA'S PPO | 24237 | 01 |
SD | SANFORD HEALTH PLAN | 24981 | 01 |
MN | 276575600 | 05 | |
MN | CC SYSTEMS/ BLUE PLUS | 034T5AW | 01 |
SD | MEDICA | 2500708 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417062068 | Sami Hasan Awadallah | Dentist | 5752 Ridge Road, Suite # 7, Parma, OH 44129-2938 | 2006-08-21 |
Street Address |
1417 S. CLIFF AVE STE. 010 |
City | SIOUX FALLS |
State | SD |
Zip Code | 57105-1014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013490127 | Laura Ann Johnson | Nurse Practitioner | 1417 S. Cliff Ave, Suite 010 Plaza 1, Sioux Falls, SD 57105 | 2018-09-13 |
1144237280 | Brenda Kay Kallemeyn | Obstetrics & Gynecology | 1417 S. Cliff Ave, Ste 200, Sioux Falls, SD 57105-1009 | 2006-08-02 |
1588629570 | Matthew Alderson Barker | Obstetrics & Gynecology | 1417 S. Cliff Ave, Ste. 101a, Sioux Falls, SD 57105-1063 | 2006-04-20 |
1770559007 | Stephen Errol Nanton | Pediatrics | 1417 S. Cliff Ave, Ste 100, Sioux Falls, SD 57105-1014 | 2006-02-27 |
1114993680 | Ashutosh Gupta | Pediatrics | 1417 S. Cliff Ave, Ste 010, Sioux Falls, SD 57105-1014 | 2006-02-24 |
1578539037 | Wilfredo G Veloira Jr. | Pediatrics | 1417 S. Cliff Ave, Ste, 010, Sioux Falls, SD 57105-1014 | 2006-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
Find all providers in zip 57105 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477996445 | Eric Vincent Mittelstaedt | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2013-04-09 |
1225247406 | Edgard Andre Bendaly | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2007-05-22 |
1568543932 | Nofil Irfan Arain | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851316806 | John G Spangler | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2006-07-12 |
City | SIOUX FALLS |
Zip Code | 57105 |
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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.