BASSEM H EL-NABBOUT (NPI# 1558442210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558442210 |
| Entity Type | Individual |
| Full Name | BASSEM H EL-NABBOUT |
| Credential | MD |
| Practice Address |
848 N Saint Francis St Ste. 3949 Wichita KS 67214-3800 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3162688040 |
| Practice Fax Number | 3162914880 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899667 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 04-33978 | KS | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
04-33978 | KS | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
E-4321 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 003719217 | 01 | |
| KS | 200355820H | 05 |
| Street Address |
848 N SAINT FRANCIS ST STE. 3949 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437685 | Toni L Sadler | Physician Assistant | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2005-06-14 |
| 1881144376 | Kelli Anne Rice | Nurse Practitioner | 848 N Saint Francis St, Ste. 391, Wichita, KS 67214-3800 | 2016-10-07 |
| 1912379132 | Tonya Loveland | Nurse Practitioner | 848 N Saint Francis St, Suite 3901, Wichita, KS 67214-3800 | 2015-10-27 |
| 1346512423 | Erica Schumacher | Nurse Practitioner | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2012-02-03 |
| 1912292020 | Vanessa G Baca | Nurse Practitioner | 848 N Saint Francis St, Ste 3950, Wichita, KS 67214-3800 | 2011-06-16 |
| 1154639185 | Jean T Dukich | Registered Nurse | 848 N Saint Francis St, Suite 1900, Wichita, KS 67214-3841 | 2010-09-24 |
| 1891007746 | Pedro Wilfrido Vivar Cruz | Psychiatry & Neurology | 848 N Saint Francis St, #3901, Wichita, KS 67214-3800 | 2010-07-08 |
| 1710203146 | Preferred Medical Associates | Otolaryngology | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2010-04-09 |
| 1245564368 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2009-09-22 |
| 1205061017 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3949, Wichita, KS 67214-3800 | 2009-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205061017 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3949, Wichita, KS 67214-3800 | 2009-05-22 |
Please comment or provide details below to improve the information on BASSEM H EL-NABBOUT.
| 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.