DR. MOWAFFAK ALHAMAD (NPI# 1447236633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447236633 |
| Entity Type | Individual |
| Full Name | DR. MOWAFFAK ALHAMAD |
| Credential | M.D. |
| Practice Address |
1140 Varnum St Ne Suite 202 Washington DC 20017-2151 |
| Practice Telephone | 2026353365 |
| Practice Fax Number | 2022696484 |
| Mailing Telephone | 2026353365 |
| Mailing Fax Number | 2022696484 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2009-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD9379 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 023572900 | 05 | |
| MD | 428551400 | 05 |
| Street Address |
1140 VARNUM ST NE SUITE 202 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725184 | Gail S Kerr | Internal Medicine | 1140 Varnum St Ne, Suite #201, Washington, DC 20017-2151 | 2005-07-31 |
| 1144641713 | Capital Consulting Services, LLC | Internal Medicine | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | 2013-12-26 |
| 1457693012 | Phs Medical Specialists Pmb107 | General Acute Care Hospital | 1140 Varnum St Ne, Pmb107, Washington, DC 20017-2151 | 2013-03-21 |
| 1710240114 | Dal Yoo Md LLC | Internal Medicine | 1140 Varnum St Ne, Suite 102, Washington, DC 20017-2151 | 2012-06-20 |
| 1366710766 | Providence Health Services, Inc | General Acute Care Hospital | 1140 Varnum St Ne, Pmb 200, Washington, DC 20017-2151 | 2011-12-13 |
| 1750659272 | Phs Family Medicine & Pediatrics Pmb103 | Pediatrics | 1140 Varnum St Ne, Pmb103, Washington, DC 20017-2151 | 2011-12-12 |
| 1326316936 | Phs Internal Medicine Pmb202 | General Acute Care Hospital | 1140 Varnum St Ne, Pmb 202, Washington, DC 20017-2151 | 2011-12-09 |
| 1457666000 | Nana Yaw Asamoah-mensah, M.d.,p.c. | Psychiatry & Neurology | 1140 Varnum St Ne, Suite 205, Washington, DC 20017-2153 | 2010-08-06 |
| 1730492422 | Andre S Michalak Md PC | Clinic/Center | 1140 Varnum St Ne, Suite 208b, Washington, DC 20017-2151 | 2010-07-22 |
| 1922335561 | Bustos & Associates, LLC | Preferred Provider Organization | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | 2009-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598254823 | Syed Muhammad Ali Bukhari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw Ste 4005003, Washington, DC 20010-2916 | 2018-05-02 |
| 1538591409 | Changing Hearts, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1160 Varnum St Ne Ste 212, Depaul Professional Bldg, Washington, DC 20017-2106 | 2013-08-02 |
| 1972774735 | Puja Gaur Khaitan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 110 Irving St Nw Ste G253, Washington, DC 20010-3017 | 2008-03-19 |
| 1235154915 | Robert Lawrence Simmons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1160 Varnum Street Ne, Suite 115, Washington, DC 20017-2180 | 2006-07-13 |
| 1295771525 | Marc Margolis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3800 Reservoir Road Nw, Phc Building 4th Floor, Washington, DC 20007 | 2006-06-22 |
| 1386686715 | Farzad Najam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2175 K St Nw, Suite 300, Washington, DC 20037-1831 | 2006-06-11 |
| 1336746999 | Yves Antoine D'udekem D'acoz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-10-07 |
| 1275140378 | Satoshi Miyairi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-23 |
| 1942722442 | Kimberly Chang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 50 Irving St Nw, Washington, DC 20422-0001 | 2017-07-17 |
| 1649718586 | Can Yerebakan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Cnmc Dep. Cardiovascular Surgery, Washington, DC 20010-2916 | 2017-02-10 |
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| City | WASHINGTON |
| Zip Code | 20017 |
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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.