DR. MOHAMED IBRAHIM HASSAN (NPI# 1629187844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629187844 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED IBRAHIM HASSAN |
| Credential | MD |
| Practice Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Mailing Address |
Po Box 447 Du Bois PA 15801-0447 |
| Practice Telephone | 8143756428 |
| Mailing Telephone | 8143722353 |
| Mailing Fax Number | 8143722353 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD431731 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227278 | 05 | |
| PA | 1019549100001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134786130 | Mohamed Shido Hassan | Adult Companion | 1312 7th St Nw Ste 203, Rochester, MN 55901-1704 | 2019-05-24 |
| 1255701520 | Mohamed Cabdi Hassan | Community Health Worker | 1925 E Dublin Granville Rd Ste 228, Columbus, OH 43229-3517 | 2015-09-30 |
| 1245613587 | Mohamed Hassan | Pharmacist | 8311 4th Ave Apt 1, Brooklyn, NY 11209-4412 | 2015-07-06 |
| 1063836765 | Mohamed Hassan | Emergency Medicine | 5569 Grove Blvd, Hoover, AL 35226 | 2014-02-15 |
| 1073764908 | Mohamed Abdalla Hassan | Dentist | 107 Tinker, Irvine, CA 92618-0825 | 2008-10-09 |
| 1588854384 | Mohamed Hassan | Dentist | 858 E Squantum St, Quincy, MA 02171-1227 | 2007-07-27 |
| 1932241445 | Mohamed Hassan | Dentist | 8112 Sheldon Rd Ste 100, Elk Grove, CA 95758-5913 | 2007-02-12 |
| 1013080886 | Mohamed M Hassan | Chiropractor | 1417 Reservation Dr, Springfield, VA 22153 | 2006-11-17 |
| 1548365067 | Mohamed Amin Hassan | Dentist | 12900 Perris Blvd, Suite # 102, Moreno Valley, CA 92553-4135 | 2006-09-13 |
| 1467455634 | Mohamed Hassan | Specialist | 302 Saint Charles Way, York, PA 17402-4647 | 2005-05-23 |
| Street Address |
100 HOSPITAL AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627580 | Dennis E Kirst | Nurse Anesthetist, Certified Registered | 100 Hospital Ave, Penn Highlands Dubois Crna's, Du Bois, PA 15801-1440 | 2005-05-31 |
| 1922607431 | Holly Marie Bianchino | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-10-26 |
| 1932710704 | Kylee Breanne Leckey | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-08-13 |
| 1821615790 | Whitney Claire Haley | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-26 |
| 1255955209 | Jessica Lynn Neill | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-05 |
| 1871117382 | Gregory Vincent Gigliotti | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-01 |
| 1235759796 | Madalyn Hoke | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-24 |
| 1033748249 | Rhonda K Mcconnell | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-08 |
| 1073142972 | Alexander Westcott | Student in an Organized Health Care Education/Training Program | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-03 |
| 1942833538 | Kimberly Erin Miller | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801094222 | Dubois Regional Medical Center | Pediatrics | 100 Hospital Ave, Neonatal Intensive Care Unit, Du Bois, PA 15801-1440 | 2007-07-06 |
| 1760448716 | Gateway Area Medical Spec | Pediatrics | 635c Maple Ave, Du Bois, PA 15801-2377 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595016 | St. Luke's Physician Group, Inc. | Pediatrics | 450 Chew St Fl 2, Allentown, PA 18102-3434 | 2018-04-16 |
| 1942671532 | Ian Gertner | Pediatrics | 3430 W Congress St, Allentown, PA 18104-2677 | 2015-10-08 |
| 1871810192 | Christine Marie Ennis | Pediatrics | 1512 Bensalem Blvd, Bensalem, PA 19020-2404 | 2010-04-26 |
| 1740443936 | Sulaiman Sannoh | Pediatrics | 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 | 2008-07-08 |
| 1568656981 | Mario Zichella Jr. | Pediatrics | 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 | 2007-08-29 |
| 1235333774 | Andrea Freeman Duncan | Pediatrics | 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 | 2007-06-11 |
| 1831302603 | Folasade Ibironke Kehinde | Pediatrics | 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 | 2007-05-08 |
| 1851512685 | Andrew Meyer | Pediatrics | Cedar Crest Blvd & I78, Allentown, PA 18105 | 2007-05-01 |
| 1700918414 | Nicole Esther Cohen-addad | Pediatrics | 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 | 2007-03-09 |
| 1770610677 | Erika Maria Yencha | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
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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.