DR. HANY MOSTAFA KHATTAB (NPI# 1326306275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326306275 |
| Entity Type | Individual |
| Full Name | DR. HANY MOSTAFA KHATTAB |
| Credential | M.D. |
| Practice Address |
1100 Federal Blvd Denver CO 80204-3219 |
| Mailing Address |
777 Bannock St Denver CO 80204-4507 |
| Practice Telephone | 3034364200 |
| Mailing Telephone | 3034364200 |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2015-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | DR.0054903 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1100 FEDERAL BLVD |
| City | DENVER |
| State | CO |
| Zip Code | 80204-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801837810 | Denver Health & Hospital Authority | Clinic/Center | 1100 Federal Blvd, Denver, CO 80204-3219 | 2006-06-09 |
| 1265031371 | Cassandra Elizabeth Garza | Dental Hygienist | 1100 Federal Blvd, Denver, CO 80204-3219 | 2020-10-20 |
| 1427669795 | Shirley Wong Hayes | Dental Hygienist | 1100 Federal Blvd, Denver, CO 80204-3219 | 2020-08-11 |
| 1639738495 | Yael Gottlieb | Physician Assistant | 1100 Federal Blvd, Denver, CO 80204-3219 | 2019-06-06 |
| 1093214926 | Amber M Clark | Dental Hygienist | 1100 Federal Blvd, Denver, CO 80204-3219 | 2018-02-06 |
| 1255840260 | Tatiana Turo | Psychologist | 1100 Federal Blvd, Denver, CO 80204-3219 | 2017-09-21 |
| 1821482027 | Katherine Hathaway Ochoa | Internal Medicine | 1100 Federal Blvd, Denver, CO 80204 | 2015-03-25 |
| 1477943348 | Amber Larsen | Dental Hygienist | 1100 Federal Blvd, Denver, CO 80204-3219 | 2015-01-30 |
| 1659773166 | Joseph Michael Longo | Psychologist | 1100 Federal Blvd, Denver, CO 80204-3219 | 2014-09-16 |
| 1861809782 | Karen Wells | Dental Hygienist | 1100 Federal Blvd, Denver, CO 80204-3219 | 2014-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715323 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 330, Denver, CO 80205-5545 | 2020-09-21 |
| 1184230591 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 360, Denver, CO 80205-5666 | 2020-09-21 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1275186470 | Pediatrics At Cherry Creek,llc | Pediatrics | 3401 Quebec St Ste 3900, Denver, CO 80207-2344 | 2019-07-17 |
| 1134781057 | Lighthouse Complex Care Ltd | Pediatrics | 1240 S Parker Rd Ste 100, Denver, CO 80231-2177 | 2019-07-01 |
| 1306307665 | Stapleton Pediatrics | Pediatrics | 1258 S Pearl St Ste 110, Denver, CO 80210-1538 | 2019-03-28 |
| 1033683917 | Jenna Elizabeth Mtui | Pediatrics | 1535 W 43rd Ave, Denver, CO 80211-2425 | 2019-01-14 |
| 1275029712 | Caitlin Comerford | Pediatrics | 1601 E 19th Ave Ste 6600, Denver, CO 80218-1292 | 2018-07-09 |
| 1497286439 | Kimberly Lauren Mickey | Pediatrics | 1625 N Marion St, Denver, CO 80218-1514 | 2017-03-22 |
| 1811350341 | Lauren Ashley Welch | Pediatrics | 2650 18th Street Suite 100, Denver, CO 80211 | 2016-04-01 |
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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.