DR. BASSEL ERICSOUSSI (NPI# 1700087632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700087632 |
| Entity Type | Individual |
| Full Name | DR. BASSEL ERICSOUSSI |
| Other Name | DR. BASSEL ERICSOUSSI |
| Credential | M.D. |
| Practice Address |
5529 Hohman Ave Hammond IN 46320-1936 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2198537100 |
| Practice Fax Number | 2199375958 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01069620A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01069620A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201063870 | 05 |
| Street Address |
5529 HOHMAN AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144297243 | Luis E Manyari | Internal Medicine | 5529 Hohman Ave, Hammond, IN 46320-1936 | 2006-03-07 |
| 1013249697 | Medical Specialists Inc., PC | Internal Medicine | 5529 Hohman Ave, Hammond, IN 46320-1936 | 2010-02-05 |
| 1346482874 | Suyin Chi | Internal Medicine | 5529 Hohman Ave, Hammond, IN 46320-1936 | 2009-03-30 |
| 1962549220 | Minal Kapoor | Internal Medicine | 5529 Hohman Ave, Hammond, IN 46320 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| 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 |
|---|---|---|---|---|
| 1669486635 | Vraj, Ltd | Internal Medicine | 5500 Hohman Ave Ste 1e, Hammond, IN 46320-1962 | 2006-07-28 |
| 1326052309 | Naresh K Upadhyay | Internal Medicine | 5500 S Hohman Ave Ste 1e, Hammond, IN 46320-1962 | 2006-07-28 |
| 1912142761 | Tarek M Abdallah | Internal Medicine | 15813 Paul Vega Md Dr Ste 401a, Hammond, LA 70403-1426 | 2008-12-09 |
| 1356533749 | Theepha Thayalakulasingam | Internal Medicine | 15813 Paul Vega Md Dr Ste 401a, Hammond, LA 70403-1426 | 2007-08-09 |
| 1780894667 | Wesley Mccabe Cook | Internal Medicine | 15813 Paul Vega Md Dr, Suite 401a, Hammond, LA 70403-1426 | 2007-05-22 |
| 1720178197 | Arvind R Yertha | Internal Medicine | 15813 Paul Vega Md Dr Ste 401a, Hammond, LA 70403-1426 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649640202 | Bkrd, Inc | Internal Medicine | 302 Garden Trl, Michigan City, IN 46360-2710 | 2015-09-25 |
| 1053744367 | Jagadeesh Yella | Internal Medicine | 1400 N Ritter Ave Ste 375, Indianapolis, IN 46219-3049 | 2013-08-11 |
| 1114367067 | Fouad Kutuby | Internal Medicine | 8840 Calumet Ave Ste 206, Munster, IN 46321-2546 | 2013-06-25 |
| 1235481755 | Dedrick K. Bowe | Internal Medicine | 800 Broadway Ste 204, Fort Wayne, IN 46802-2149 | 2012-10-08 |
| 1871856351 | Muhammad J Habib | Internal Medicine | 355 Westfield Rd Ste 114, Noblesville, IN 46060-1442 | 2012-06-20 |
| 1629356332 | Sangeeth Rao Dubbireddi | Internal Medicine | 1801 N Senate Ave Ste 2000, Indianapolis, IN 46202 | 2011-07-29 |
| 1972894087 | Amanpreet Kaur | Internal Medicine | 3500 N Franciscan Way, Ste 400, Michigan City, IN 46360-0021 | 2011-04-22 |
| 1164735692 | Edgardo Manuel Flores Anticona | Internal Medicine | 2101 Jackson St Ste 110, Anderson, IN 46016-4386 | 2010-07-26 |
| 1598986713 | Eugene C Fletcher Md LLC | Internal Medicine | 428 Vincennes St, New Albany, IN 47150-3054 | 2007-05-02 |
| 1912032434 | Brian Allen Youn | Internal Medicine | 821 S Scott Rd, Fort Wayne, IN 46814-9398 | 2007-02-23 |
| 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.