DR. ESSAM MOHAMED KHEDR (NPI# 1457686487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457686487 |
| Entity Type | Individual |
| Full Name | DR. ESSAM MOHAMED KHEDR |
| Credential | DPM |
| Practice Address |
80 Mechanic Street Athol MA 01331-2133 |
| Practice Telephone | 9782491295 |
| Practice Fax Number | 9782495669 |
| Mailing Telephone | 9782491295 |
| Mailing Fax Number | 9782495669 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2010-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2353 | MA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
80 MECHANIC STREET |
| City | ATHOL |
| State | MA |
| Zip Code | 01331-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811786 | Joyce Ann Dean | Physical Therapy Assistant | 821 Daniel Shays Highway, Athol, MA 01331 | 2018-02-19 |
| 1073049441 | Athol Memorial Hospital Incorporated | Clinic/Center | 81 Reservoir Drive, Athol, MA 01331 | 2017-05-04 |
| 1043680317 | Mark Lorion | Counselor | 491 Main St., Athol, MA 01331 | 2015-09-30 |
| 1184969875 | Vicky Mae Blake | Licensed Practical Nurse | 116 Chase Road, Athol, MA 01331 | 2012-12-06 |
| 1487733358 | Dwight K Stowell Jr Dmd | Dentist | 38 Exchange Street, Athol, MA 01331 | 2006-11-03 |
| 1801981493 | Heidi J Foley | Family Medicine | 78 Brickyard Road, Suite 2, Athol, MA 01331 | 2006-10-03 |
| 1437183266 | Jennifer S Mark | Family Medicine | Athol Memorial Hospital, 2033 Main Street, Athol, MA 01331 | 2006-07-10 |
| 1790714079 | Ashley Warner | Family Medicine | 81 Reservoir Dr, Athol, MA 01331 | 2006-06-30 |
| 1790732022 | Corazon Yandoc-maramag | Anesthesiology | 298 R Vine Street, Athol, MA 01331 | 2006-05-30 |
| 1336120047 | Athol Memorial Hospital Incorporated | General Acute Care Hospital | 2033 Main Street, Athol, MA 01331 | 2005-11-09 |
| Find all providers in zip 01331 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
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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.