DR. IBRAHIM SHAHOUB (NPI# 1629410691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629410691 |
| Entity Type | Individual |
| Full Name | DR. IBRAHIM SHAHOUB |
| Practice Address |
911 Bypass Rd Bldg A Pikeville KY 41501-1689 |
| Mailing Address |
Po Box 432 Pikeville KY 41502-0432 |
| Practice Telephone | 6062183500 |
| Practice Fax Number | 6062184697 |
| Mailing Telephone | 6062183500 |
| Mailing Fax Number | 6062184697 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
51579 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1249 15th Street, Suite 2000, Huntington, WV 25701 | 3046911000 | 3046911693 |
| 740 S Limestone Room L543, Lexington, KY 40536 | 8593235921 | 8592579286 |
| 911 Bypass Rd Bldg A, Pikeville, KY 415011689 | 6062186408 | 6062187508 |
| Street Address |
911 BYPASS RD BLDG A |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679568281 | Ramanarao V Mettu | Internal Medicine | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2005-09-20 |
| 1134757305 | Amanda Rachelle Andreychuk | Nurse Practitioner | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2020-03-31 |
| 1548893548 | Breanna Farmer | Nurse Practitioner | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2020-02-18 |
| 1528699881 | Justin Harris | Nurse Anesthetist, Certified Registered | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2020-01-27 |
| 1497393946 | William Dreibelbis | Physician Assistant | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2019-12-16 |
| 1750923397 | Julie Kathrine Spears | Nurse Practitioner | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2019-10-15 |
| 1194204156 | Brittney R. Branham | Physician Assistant | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2018-08-10 |
| 1225569148 | Elizabeth Dupre | Emergency Medicine | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2017-03-22 |
| 1508305715 | Brandi Nicole Adkins | Nurse Practitioner | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2017-02-21 |
| 1912352030 | Michael Crum | Emergency Medicine | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2016-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1699053579 | Yousef A. Y. Hattab | Internal Medicine | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2011-07-27 |
| 1003122441 | Abdel Rahman Lataifeh | Internal Medicine | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2010-08-24 |
| 1205913951 | Worawute Supaongprapa | Internal Medicine | 911 Bypass Rd # Clinic8, Pikeville, KY 41501-1689 | 2006-11-01 |
| 1821109810 | East Ky Pulmonary & Associates | Internal Medicine | 387 Town Mountain Rd, Suite 108, Pikeville, KY 41501-1640 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447543293 | Theresa V Case | Internal Medicine | University of Kentucky Kentucky Clinic L543, 740 S. Limestone, Lexington, KY 40536-2813 | 2011-05-25 |
| 1669764494 | Ayesha Haroon | Internal Medicine | 740 South Limestone Room A301, Lexington, KY 40536-5307 | 2011-05-12 |
| 1154634947 | Abid S. Butt | Internal Medicine | 3999 Dutchmans Ln Ste 2f, Louisville, KY 40207-4748 | 2010-07-21 |
| 1376727552 | Anil Gopinath | Internal Medicine | Division of Pulmonary Critical Care Sleep, Kentucky Clinic, L543, Lexington, KY 40536-0001 | 2007-12-24 |
| 1851500961 | Rodrigo Silva Cavallazzi | Internal Medicine | 401 E Chestnut Street, #310, University Medical Associates, Louisville, KY 40202-5703 | 2007-05-22 |
| 1063626653 | Umair Ahmad Gauhar | Internal Medicine | 550 S Jackson St # A3r40, University of Louisville, Division of Pulmonary Med, Louisville, KY 40202-1622 | 2007-05-10 |
| 1396710091 | Mohamad R Abul-khoudoud | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2006-02-17 |
| 1386618221 | Rajanna B Ramaswamy | Internal Medicine | 4002 Kresge Way Bldg D, Louisville, KY 40207-4661 | 2006-02-16 |
| 1083699102 | Peter Eugene Morris | Internal Medicine | Univ of Ky Div of Pulmonary Critical Care, 740 S. Limestone, L543 Ky Clinic, Lexington, KY 40536-0284 | 2005-12-13 |
| 1801878806 | Azmi Draw | Internal Medicine | 10214 Worthington Ln, Prospect, KY 40059-8551 | 2005-11-16 |
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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.