DR. MOUHAMED YAZAN ABOU-ISMAIL (NPI# 1336553676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336553676 |
| Entity Type | Individual |
| Full Name | DR. MOUHAMED YAZAN ABOU-ISMAIL |
| Credential | M.D. |
| Practice Address |
1425 Portland Ave Rochester NY 14621-3001 |
| Mailing Address |
31 Portland Pkwy Apt 5 Rochester NY 14621-2827 |
| Practice Telephone | 5853365000 |
| Mailing Telephone | 5855077105 |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
11619970-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1425 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697605 | Joseph David Silverberg | Ophthalmology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2005-05-24 |
| 1598372443 | Chengu Niu | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-24 |
| 1194339085 | Latanya Denise Brown | Licensed Practical Nurse | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-08 |
| 1487267134 | Roberto M Voica | Pharmacist | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-24 |
| 1538770102 | Utsav Joshi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-16 |
| 1952911687 | Ido Goldenberg | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-06 |
| 1669081378 | Carlos Alejandro Portales Castillo | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-28 |
| 1427667617 | Varun Bhalla | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-23 |
| 1871101550 | Tamer Salhab Altamimi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-17 |
| 1508474628 | Hafsa Faisal | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1659614972 | Colin Michael Mchugh | Internal Medicine | 1000 South Ave Bldg Level3, Rochester, NY 14620-2733 | 2013-04-04 |
| 1265721344 | Hugo Valencia | Internal Medicine | 211 White Spruce Blvd Ste A, Rochester, NY 14623-1618 | 2011-03-29 |
| 1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
| 1750301263 | Deepak Sahasrabudhe | Internal Medicine | 601 Elmwood Ave., Rochester, NY 14642-0001 | 2006-07-20 |
| 1568499325 | Timothy J Woodlock | Internal Medicine | 89 Genesee Street, Bishop Kearney Bldg 1st Floor, Rochester, NY 14611 | 2006-06-27 |
| 1144202607 | Aram Francis Hezel | Internal Medicine | 601 Elmwood Avenue, Box 704, Rochester, NY 14642 | 2005-11-18 |
| 1184619769 | Scott L Barrett | Internal Medicine | 211 White Spruce Blvd, Rochester, NY 14623-1618 | 2005-09-20 |
| 1730186479 | Oncology & Hematology of Oakland PC | Internal Medicine | 1135 W University Dr, Ste 220, Rochester, MI 48307-1871 | 2005-07-07 |
| 1700439478 | Maansi Joshi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-07-22 |
| Find all providers in ROCHESTER | ||||
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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.