DR. NADER BISHARA AILABOUNI (NPI# 1497728661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497728661 |
| Entity Type | Individual |
| Full Name | DR. NADER BISHARA AILABOUNI |
| Credential | DO |
| Practice Address |
500 Osborne Rd Ne Ste 255 Fridley MN 55432-2768 |
| Practice Telephone | 7632362500 |
| Practice Fax Number | 7632362500 |
| Mailing Telephone | 7632362500 |
| Mailing Fax Number | 7632362505 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 49646 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 503938000 | 05 |
| Street Address |
500 OSBORNE RD NE STE 255 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226112 | Erin Kristine Church | Social Worker | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2020-08-19 |
| 1578058038 | Jessica Stewart | Nurse Practitioner | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2018-06-27 |
| 1437684602 | Alysse Victoria Cruz | Family Medicine | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2017-04-25 |
| 1568823870 | Diana Lynn Heilig | Family Medicine | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2016-03-14 |
| 1104269000 | Tyler Conway | Dermatology | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432 | 2013-04-10 |
| 1912203365 | Allina Health System | Clinic/Center | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2011-02-02 |
| 1538322243 | Nicole Kay Baker | Nurse Practitioner | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2008-07-03 |
| 1306911821 | Clinton Vanlith | Psychologist | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2006-11-21 |
| 1598727638 | Dale Lee Cody | Surgery | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2006-04-04 |
| 1952376675 | Chienyenwa N Nwachuku-winful | Family Medicine | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1912968546 | Barbara Anne Bank | Family Medicine | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2006-03-31 |
| 1124087622 | Elise Christine Brodin Larson | Family Medicine | 5130 Main St Ne, Fridley, MN 55421-1528 | 2006-03-22 |
| 1184606774 | Steven Duane Bentz | Family Medicine | 7675 Madison St Ne, Fridley, MN 55432-2753 | 2005-11-18 |
| 1407851694 | Crystal M Dexter | Family Medicine | 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2774 | 2005-06-15 |
| 1437684602 | Alysse Victoria Cruz | Family Medicine | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2017-04-25 |
| 1619401270 | Betlehem Semahge | Family Medicine | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2017-04-20 |
| 1568823870 | Diana Lynn Heilig | Family Medicine | 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 | 2016-03-14 |
| 1689067860 | Mona Abdel-bary | Family Medicine | 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2765 | 2015-03-11 |
| 1962769125 | Michael Brian Macintire | Family Medicine | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2012-04-12 |
| Find all providers in FRIDLEY | ||||
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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.