MAZEN KHALIL (NPI# 1659323608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659323608 |
| Entity Type | Individual |
| Full Name | MAZEN KHALIL |
| Credential | M.D. |
| Practice Address |
300 Carson St Jonesboro AR 72401-3104 |
| Practice Telephone | 8709325296 |
| Practice Fax Number | 8709107713 |
| Mailing Telephone | 8709325296 |
| Mailing Fax Number | 8709107713 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E-5722 | AR | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
40968 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679725808 | Mazen K Khalil | Internal Medicine | 8 Richland Medical Park Dr, #300, Columbia, SC 29203-8005 | 2008-10-21 |
| Street Address |
300 CARSON ST |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036924 | John Franklin Ball | Orthopaedic Surgery | 300 Carson St, Jonesboro, AR 72401-3104 | 2005-07-07 |
| 1497376040 | Zachary Carter Lee | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-05 |
| 1598386344 | Austin Richardson | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-04 |
| 1225659014 | Derek M Childers | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1881215697 | Joshua Buell | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1912528704 | Anna Margarita De Feria | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1184245037 | Hadia I Arzoun | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-01 |
| 1407410905 | Amanda Sale | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-30 |
| 1952864324 | Cameron Sandefur | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-11 |
| 1306309059 | James Kenton Riddle | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620025 | Suapsan Singhapakdi | Internal Medicine | 216 Arrowhead Blvd, Jonesboro, GA 30236 | 2006-04-25 |
| 1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
| 1689643751 | Ronald J Blachly | Internal Medicine | 4808 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| 1184968661 | Cancer Care Associates Inc | Internal Medicine | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2012-11-21 |
| 1649441296 | Georgia Cancer Specialists I, PC | Internal Medicine | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2008-03-21 |
| 1124231816 | Scott A. Dorroh | Internal Medicine | 4808 E Johnson Ave, Hem/onc Dept., Jonesboro, AR 72401 | 2007-05-08 |
| 1770659328 | Michael F Doherty | Internal Medicine | 2400 Mount Zion Parkway, Department of Hematology Oncology, Jonesboro, GA 30236 | 2006-11-27 |
| 1508801978 | Jyothirmai Kondapaneni | Internal Medicine | 2400 Mt Zion Parkway, Kp Southwood Medical Center, Jonesboro, GA 30236 | 2006-06-18 |
| 1821058991 | Carroll D. Scroggin | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356729016 | Oasis Healthcare Corporation | Internal Medicine | 112 Sezanne Ct, Little Rock, AR 72223-5095 | 2015-05-14 |
| 1487053484 | Faith E Davies | Internal Medicine | 4301 W.markham Street, Mail Slot 816, Little Rock, AR 72205-7199 | 2014-08-15 |
| 1942516182 | Carolina D Schinke | Internal Medicine | 4301 W Markham St # 816, Little Rock, AR 72205-7101 | 2010-08-25 |
| 1093986358 | South Arkansas Hematology & Oncology Clinic Pa | Internal Medicine | 1716 Doctor Dr., Pine Bluff, AR 71603-6367 | 2008-03-14 |
| 1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
| 1629175922 | Manjusha Kota | Internal Medicine | 180 Medical Park Pl Ste 201, Hot Springs, AR 71901 | 2006-09-20 |
| 1063526614 | Abid Mohiuddin | Internal Medicine | 7200 S. Hazel, Arkansas Cancer Institute, Pine Bluff, AR 71603-7836 | 2006-08-19 |
| 1871607770 | Ahmad Mazen Safar | Internal Medicine | 805 Loyola Dr, Little Rock, AR 72211-5520 | 2006-08-18 |
| 1447298195 | Frank J Panettiere | Internal Medicine | 1002 S 19th St, Rogers, AR 72758-4904 | 2006-06-03 |
| 1033180229 | Daniel S Bradford | Internal Medicine | 808 S 52nd St, Rogers, AR 72758-8602 | 2006-01-27 |
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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.