DR. MICHAEL POURTABIB (NPI# 1508870379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508870379 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL POURTABIB |
| Credential | M.D. |
| Practice Address |
100 Spalding Dr Suite 102 Naperville IL 60540-6550 |
| Mailing Address |
1035 Snowdon Ct Naperville IL 60540-8251 |
| Practice Telephone | 6303555860 |
| Mailing Telephone | 6304201820 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 2215455 | 01 |
| Street Address |
100 SPALDING DR SUITE 102 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-6550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215718 | Mark F Daniels | Internal Medicine | 100 Spalding Dr, Ste 208, Naperville, IL 60540-6552 | 2005-06-17 |
| 1114581683 | Albana Liti | Nurse Practitioner | 100 Spalding Dr, Naperville, IL 60540 | 2019-04-30 |
| 1881103042 | Stanley Owen Gibbs | Registered Nurse | 100 Spalding Dr, Naperville, IL 60540-6550 | 2017-09-20 |
| 1871024786 | Sara Horvath | Nurse Practitioner | 100 Spalding Dr, Suite212, Naperville, IL 60540-6550 | 2017-03-22 |
| 1174072037 | Kimberle Crosby | Nurse Practitioner | 100 Spalding Dr, Suite 300, Naperville, IL 60540-6550 | 2016-10-03 |
| 1376902742 | Edward Hospital | Obstetrics & Gynecology | 100 Spalding Dr, Naperville, IL 60540-6550 | 2016-02-15 |
| 1275909483 | Ashima Batra | Physician Assistant | 100 Spalding Dr, Ste 400, Naperville, IL 60540 | 2015-08-11 |
| 1477937373 | Edward Hospital | Pharmacy | 100 Spalding Dr, Suite 101, Naperville, IL 60540-6550 | 2015-07-10 |
| 1548655103 | Patricia Duda | Nurse Practitioner | 100 Spalding Dr, Suite 102, Naperville, IL 60540 | 2015-03-31 |
| 1972910883 | Lisa Bastian | Nurse Practitioner | 100 Spalding Dr, Naperville, IL 60540-6550 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669817367 | Badowski, Druzak & Jensen Md's 2 LLC | Obstetrics & Gynecology | 10 Martin Ave Ste 100, Naperville, IL 60540-6564 | 2013-05-08 |
| 1447549829 | Kimberly Bannon | Obstetrics & Gynecology | 100 Spalding Dr Ste 406, Naperville, IL 60540-6554 | 2011-04-06 |
| 1265566319 | Liana C Lucaric | Obstetrics & Gynecology | 720 S Brom, S104, Naperville, IL 60540 | 2007-03-14 |
| 1114010097 | Charles Edward Miller | Obstetrics & Gynecology | 120 Osler Drive, Suite 100, Naperville, IL 60540-7429 | 2006-10-02 |
| 1104849272 | Andrew K. Badowski | Obstetrics & Gynecology | 10 W Martin Ave # 100, Naperville, IL 60540-6535 | 2006-07-26 |
| 1164488763 | Vimi Bajaj | Obstetrics & Gynecology | 640 South Washington St, Ste 220, Naperville, IL 60540 | 2006-04-22 |
| 1194726547 | Judith Bressler | Obstetrics & Gynecology | 120 Spalding Dr Ste 309, Naperville, IL 60540-6521 | 2005-08-09 |
| 1720345945 | The Wright Center for Women's Health | Obstetrics & Gynecology | 1763 Freedom Dr, Suite 113 & 117, Naperville, IL 60563-3548 | 2012-04-12 |
| 1386912046 | Adventist Health Partners, Inc | Obstetrics & Gynecology | 1012 95th St, Suite 3, Naperville, IL 60564-5041 | 2011-12-09 |
| 1285928085 | Kathryn A Gordon | Obstetrics & Gynecology | 608 S Washington St, Suite 204, Naperville, IL 60540-6663 | 2011-06-09 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.