DR. HAZIM IBRAHIM (NPI# 1417337353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417337353 |
| Entity Type | Individual |
| Full Name | DR. HAZIM IBRAHIM |
| Credential | DPM |
| Practice Address |
7527 Thoroughbred Dr Apt 3d Fort Wayne IN 46804 |
| Mailing Address |
7527 Thoroughbred Dr Apt 3d Fort Wayne IN 46804-2362 |
| Practice Telephone | 4408403692 |
| Mailing Telephone | 4084036924 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07001283A | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
7527 THOROUGHBRED DR APT 3D |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760683593 | Toes R Us, Inc. | Podiatrist | 6200 Bluffton Rd, Fort Wayne, IN 46809-2260 | 2007-05-30 |
| 1871605147 | Dennis John Chubinski | Podiatrist | 8028 Carnegie Blvd., 400, Fort Wayne, IN 46804-5788 | 2006-08-31 |
| 1114956844 | David K Wysong | Podiatrist | 3012 E State Blvd, Fort Wayne, IN 46805-4737 | 2006-07-03 |
| 1235182643 | Richard M. Hilker, Dpm, P.C. | Podiatrist | 10323 Dawsons Creek Blvd, Bldg. 10-c, Fort Wayne, IN 46825-1910 | 2006-05-18 |
| 1134104474 | Lynn H Stafford | Podiatrist | 7559 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2005-12-09 |
| 1487637377 | Richard M Hilker | Podiatrist | 10323 Dawsons Creek, Bldg 10 C, Fort Wayne, IN 46825-1910 | 2005-11-23 |
| 1508867177 | Gary Michael Torkeo | Podiatrist | 4011 W Jefferson Blvd, Suite 175, Fort Wayne, IN 46804-6853 | 2005-08-09 |
| 1346247061 | Michael Steven Worpell | Podiatrist | 1234 E Dupont Rd, 2 1, Fort Wayne, IN 46825-1545 | 2005-07-07 |
| 1760486393 | Lincoln Pedic Clinic, Inc. | Podiatrist | 12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 | 2005-06-10 |
| 1124021100 | Karen F Sloane | Podiatrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2005-05-24 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on DR. HAZIM IBRAHIM.
| 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.