FADLALLAH G HABR (NPI# 1619924651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619924651 |
| Entity Type | Individual |
| Full Name | FADLALLAH G HABR |
| Credential | MD |
| Practice Address |
375 Wampanoag Trl Suite 202a Riverside RI 02915-2212 |
| Mailing Address |
17 Virginia Ave Suite 107 Providence RI 02905-4406 |
| Practice Telephone | 4016494030 |
| Practice Fax Number | 4016494031 |
| Mailing Telephone | 4014434992 |
| Mailing Fax Number | 4017844902 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD09914 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9021243 | 05 |
| Street Address |
375 WAMPANOAG TRL SUITE 202A |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955071 | Marina F Rodriguez | Internal Medicine | 375 Wampanoag Trl, Suite 201, Riverside, RI 02915-2212 | 2005-07-08 |
| 1235789231 | Maxwell Hogue | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-09-12 |
| 1114574860 | Lindsey Harris | Physical Therapist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-08-19 |
| 1447713680 | Kate M Guthrie | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-04-12 |
| 1386159069 | Aletheia Yuri Miyake Shen | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2017-12-04 |
| 1699223404 | Silver Fern Practice, LLC | Physical Therapist | 375 Wampanoag Trl, Suite 403, Riverside, RI 02915-2232 | 2016-09-21 |
| 1528433489 | Cerissa Blaney | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2015-12-03 |
| 1205231081 | Mary Whittenhall | Nurse Practitioner | 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 | 2014-10-23 |
| 1649602863 | Amanda J. Fernandes | Internal Medicine | 375 Wampanoag Trl, Riverside, RI 02915 | 2013-07-30 |
| 1861749327 | Laura A. Massa | Nurse Practitioner | 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2232 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1902167695 | Marco A Paez | Internal Medicine | 6900 Brockton Ave Ste 100, Riverside, CA 92506-3817 | 2012-05-30 |
| 1649583782 | Abbas Rupawala | Internal Medicine | 375 Wampanoag Trl Ste 202a, Riverside, RI 02915-2234 | 2010-07-19 |
| 1679700579 | Martin J. Collen M.d. Inc. | Internal Medicine | 6647 Hawarden Dr, Riverside, CA 92506-5111 | 2009-06-18 |
| 1083813158 | Galen C. L. Huang, M.d., Inc. | Internal Medicine | 6958 Brockton Ave # 202, Riverside, CA 92506-3802 | 2007-07-17 |
| 1265580724 | Vinod Mishra | Internal Medicine | 6958 Brockton Ave Ste 201, Riverside, CA 92506-3802 | 2007-01-08 |
| 1396825923 | Frank Iber | Internal Medicine | 339 Selborne Rd, Riverside, IL 60546-1624 | 2006-10-17 |
| 1033221007 | Jyothi Ahalya Reddy | Internal Medicine | 9670 Magnolia Ave Ste 203, Riverside, CA 92503-3684 | 2006-08-31 |
| 1316971765 | Galen Chung-liang Huang | Internal Medicine | 6958 Brockton Ave, Suite 202, Riverside, CA 92506-3802 | 2006-07-10 |
| 1457399545 | Bhs Digestive Disease Associates | Internal Medicine | 3722 Harlem Ave, Suite 102, Riverside, IL 60546-2312 | 2006-06-02 |
| 1063703890 | Scott Hyunsoo Lee | Internal Medicine | 6405 Day St, Riverside, CA 92507-0901 | 2011-04-27 |
| Find all providers in RIVERSIDE | ||||
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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.