NIHAD M BOUTROS (NPI# 1508869454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508869454 |
| Entity Type | Individual |
| Full Name | NIHAD M BOUTROS |
| Credential | M.D. |
| Practice Address |
2600 Tuscarawas St W Ste 100 Canton OH 44708-4696 |
| Practice Telephone | 3304528844 |
| Practice Fax Number | 3304527012 |
| Mailing Telephone | 3304528844 |
| Mailing Fax Number | 3304527012 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35-065732 | OH | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35-065732 | OH | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
35-065732 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BC/BS | 000000283988 | 01 |
| OH | 2401672 | 05 | |
| OH | AULTCARE | 341574729F | 01 |
| OH | THE HEALTH PLAN | Q035419 | 01 |
| OH | CARESOURCE | 341574729036 | 01 |
| OH | UNISON HEALTH PLAN | 000000186380 | 01 |
| OH | BUCKEYE COMMUNITY HEALTH | 733560 | 01 |
| Street Address |
2600 TUSCARAWAS ST W STE 100 |
| City | CANTON |
| State | OH |
| Zip Code | 44708-4696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760022834 | Sydney C Pritchett | Nurse Practitioner | 2600 Tuscarawas St W, Canton, OH 44708-4644 | 2020-01-07 |
| 1700242401 | Amanda Sanders | Nurse Practitioner | 2600 Tuscarawas St W, Suite 400, Canton, OH 44708-4644 | 2016-01-11 |
| 1649645300 | Mioara Tudosie, Md, LLC | Internal Medicine | 2600 Tuscarawas St W, Suite 640, Canton, OH 44708-4644 | 2015-12-07 |
| 1013388248 | Kenzie Miller | Nurse Practitioner | 2600 Tuscarawas St W, Canton, OH 44708-4644 | 2015-10-14 |
| 1235486176 | Sara Hallam | Nurse Practitioner | 2600 Tuscarawas St W, Ste 400, Canton, OH 44708-4644 | 2012-08-09 |
| 1851538953 | Symphony Cardiology and Sexual Medicine, LLC | Internal Medicine | 2600 Tuscarawas St W, Suite 220, Canton, OH 44708-4644 | 2009-01-12 |
| 1508029307 | Jean Claude Tabet | Neurological Surgery | 2600 Tuscarawas St W, Suite 530, Canton, OH 44708-4644 | 2008-07-02 |
| 1942473962 | Abhijit Kontamwar | Internal Medicine | 2600 Tuscarawas St W, Suite 160, Canton, OH 44708-4644 | 2008-04-10 |
| 1639368186 | Nicholas Brian Roberts | Surgery | 2600 Tuscarawas St W, Suite 600, Canton, OH 44708-4644 | 2007-10-22 |
| 1871780635 | Sabrina Shilad | Surgery | 2600 Tuscarawas St W, Ste 620, Canton, OH 44708-4644 | 2007-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336243047 | William D Frazier | Internal Medicine | 161 River Oaks Dr Ste Rt1188, Canton, MS 39046-5375 | 2006-09-12 |
| 1164622247 | Vishal Sawhney | Internal Medicine | 1445 Harrison Ave Nw, Suite 101, Canton, OH 44708-2620 | 2007-07-18 |
| 1679572317 | Robert B Packer | Internal Medicine | 1330 Mercy Dr Nw, Canton, OH 44708 | 2005-07-15 |
| 1134124340 | Pulmonary Physicians Inc | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-06-15 |
| 1912909235 | George H Kefalas | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-06-01 |
| 1083617724 | Jeffrey B Miller | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-05-26 |
| 1619970563 | Eyad Nashawati | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891236733 | Jing Gennie Wang | Internal Medicine | 473 W 12th Ave Ste 201, Columbus, OH 43210-1252 | 2017-03-11 |
| 1083093546 | Waleed F Nemer Md Inc | Internal Medicine | 908 E Waterloo Rd Ste 1a, Akron, OH 44306-3928 | 2015-05-29 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| 1083059182 | Matthew Thomas Siuba | Internal Medicine | 9500 Euclid Ave # L2-300, Cleveland, OH 44195-0001 | 2013-05-02 |
| 1831431162 | David Healy Do Pulmonary Medicine LLC | Internal Medicine | 3693 Darby Knolls Blvd, Hilliard, OH 43026-7293 | 2013-03-25 |
| 1417207010 | Jeffrey David Parker | Internal Medicine | 2121 Herrick Ave., Cincinnati, OH 45208-3214 | 2012-09-12 |
| 1780947077 | Ayman O Alsharbini | Internal Medicine | 425 West 5th St, East Liverpool, OH 43920 | 2012-06-21 |
| 1386942910 | Pulmonary Associates LLC | Internal Medicine | 3006 N. Dixie Hwy., Suite 102, Troy, OH 45373 | 2011-03-07 |
| 1144523630 | Jordan Atanasov Kazakov | Internal Medicine | 11100 Euclid Ave # Bolwell 6, Cleveland, OH 44106-1716 | 2010-12-06 |
| 1649402751 | Anthony Michael Boulos | Internal Medicine | 960 Windham Ct Ste 1, Youngstown, OH 44512-5087 | 2009-08-24 |
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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.