EZZELDIN A SALEH (NPI# 1417951971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417951971 |
| Entity Type | Individual |
| Full Name | EZZELDIN A SALEH |
| Credential | MD |
| Practice Address |
301 N 8th St Ste 4a Springfield IL 62701-1013 |
| Mailing Address |
Po Box 19658 Springfield IL 62794-9658 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175456040 |
| Mailing Telephone | (217) 545-8000 |
| Mailing Fax Number | 2175456040 |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2017-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
036-144396 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036-144396 | 01 |
| LA | 1167665 | 05 |
| Street Address |
301 N 8TH ST STE 4A |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631132 | Mary Lynn O'connor | Genetic Counselor, MS | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-08-30 |
| 1194210278 | Marion Esther Were | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-06-29 |
| 1629563051 | Adora Elsie Anudu | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-06-27 |
| 1255826137 | Amy Pius Joseph | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-06-24 |
| 1578056859 | Stephanie O'brien | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-06-11 |
| 1730671058 | Fatima Tariq | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-06-01 |
| 1700377835 | Nicholas Daniel Lukert | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-05-24 |
| 1356862478 | Aya El Jerbi | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2017-06-28 |
| 1407376122 | Jenna Goeckner | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2017-06-23 |
| 1780104943 | Andrew B Bernales | Pediatrics | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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 |
|---|---|---|---|---|
| 1700969375 | Barbara W Stechenberg | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-10-24 |
| 1902995343 | Donna J Fisher | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356749261 | Surasak and Sirimon | Pediatrics | 1222 Lathrop Ave, River Forest, IL 60305-1116 | 2014-12-09 |
| 1679729792 | Uzma Naveen Hasan | Pediatrics | 2300 Childrens Plaza Box # 20, Division of Infectious Diseases, Chicago, IL 60614 | 2008-08-08 |
| 1245498344 | Mehreen Arshad | Pediatrics | Ann & Robert H Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Chicago, IL 60611-2991 | 2008-05-27 |
| 1043424450 | Maya Family Medical Center | Pediatrics | 4527 N Pulaski Rd, Chicago, IL 60630 | 2007-05-09 |
| 1407815277 | Tina Quanbee Tan | Pediatrics | 225 East Chicago Ave Box #20, Chicago, IL 60611-2605 | 2006-03-21 |
| 1346217726 | Anne H Rowley | Pediatrics | 225 E Chicago Ave # 20, Chicago, IL 60611-2991 | 2006-03-03 |
| 1902899438 | Daniel C Johnson | Pediatrics | 5841 S Maryland Ave # 6082, Chicago, IL 60637-1447 | 2005-08-30 |
| 1831542729 | Maninder Kaur | Pediatrics | 5841 S Maryland Ave # Mc6054, Chicago, IL 60637-1443 | 2016-07-15 |
| 1558736405 | Muayad Alali | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2015-12-03 |
| 1144491085 | Allison Humes Bartlett | Pediatrics | 800 E 55th St, Chicago, IL 60615 | 2008-03-19 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.