DR. WADIH JALIL CHAKKOUR (NPI# 1588001895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588001895 |
| Entity Type | Individual |
| Full Name | DR. WADIH JALIL CHAKKOUR |
| Practice Address |
3601 4th St Stop 9410 Lubbock TX 79430-2427 |
| Mailing Address |
3355 Riverbend Dr Ste 240 Springfield OR 97477-8800 |
| Practice Telephone | 8067433150 |
| Mailing Telephone | 5418689292 |
| Mailing Fax Number | 5416877943 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD196187 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 Engle St, Apartment N2, Englewood, NJ 076312427 | 2017552326 |
| Street Address |
3601 4TH ST STOP 9410 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801955612 | Elsa N Bello Reuss | Internal Medicine | 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2006-12-07 |
| 1477176246 | Meredith Gavin Pham | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2020-05-27 |
| 1811554371 | Kendall Ann Creed | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2019-05-21 |
| 1558926071 | Thanita Thongtan | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2019-05-09 |
| 1356827174 | M Rubayat Rahman | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2018-07-15 |
| 1134484975 | David Augusto Sotello Aviles | Internal Medicine | 3601 4th St Stop 9410, Lubbock, TX 79430-1865 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1336138577 | Wael Tello | Internal Medicine | 4407 6th St, Lubbock, TX 79416-4733 | 2005-10-20 |
| 1871595231 | Pulmonary Associates of Lubbock LLP | Internal Medicine | 3621 22nd St., Suite 300, Lubbock, TX 79410-1302 | 2005-08-15 |
| 1912028622 | Brian Paul Williams | Internal Medicine | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2007-04-02 |
| 1568485258 | Marque A. Hunter | Internal Medicine | 3621 22nd St., Suite 400, Lubbock, TX 79410-1302 | 2006-07-25 |
| 1225003791 | Gilbert G Berdine | Internal Medicine | 3601 4th St, 2nd Floor, Lubbock, TX 79430-9410 | 2006-02-20 |
| 1568454791 | Gary D Smith | Internal Medicine | 3621 22nd St, Ste 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1366444721 | Shannon Turnbow | Internal Medicine | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1275535635 | Srinivas P Kadiyala | Internal Medicine | 3621 22nd St, Ste 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1205838653 | Mark W Johnson | Internal Medicine | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1073515433 | Naidu K Chekuru | Internal Medicine | 3621 22nd St, Ste 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| Find all providers in LUBBOCK | ||||
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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.