DR. OMAR S KHOKHAR (NPI# 1750382834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750382834 |
| Entity Type | Individual |
| Full Name | DR. OMAR S KHOKHAR |
| Credential | MD |
| Practice Address |
3325 E Main Street Rd Attica NY 14011-9506 |
| Mailing Address |
Po Box 265 3325 E Main St Attica NY 14011-0265 |
| Practice Telephone | 5855910800 |
| Practice Fax Number | 5855914204 |
| Mailing Telephone | 5855910800 |
| Mailing Fax Number | 5855914204 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 140294 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 000607913003 | 01 |
| NY | 00633078 | 05 | |
| NY | AETNA | 4301608 | 01 |
| NY | GHI | 0047126 | 01 |
| NY | WORKERS COMPENSATION | 1402940 | 01 |
| NY | SATE INS FUND | 1402941 | 01 |
| NY | PREMIER HELATH PLAN | P010140294 | 01 |
| NY | UNIVERA | 00010090701 | 01 |
| NY | RAILROAD MEDICARE | 010065467 | 01 |
| NY | INDH | 0101478 | 01 |
| NY | EMPIRE | 161166300 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386865244 | Omar S Khokhar | Internal Medicine | 1701 E College Ave, Bloomington, IL 61704-2101 | 2007-05-01 |
| Street Address |
3325 E MAIN STREET RD |
| City | ATTICA |
| State | NY |
| Zip Code | 14011-9506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275629875 | Joseph Allan Craddock | Dentist | 3325 E Main Street Rd, Attica, NY 14011 | 2006-10-04 |
| 1851498497 | Jacquelin Victoria Deatcher | Nurse Practitioner | 3325 E Main Street Rd, Attica, NY 14011-9506 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376702423 | Ronette Ann Wolcott | Registered Nurse | 33 Water Street, Attica, NY 14011 | 2008-06-04 |
| 1184694887 | Patricia Mann | Physical Therapist | 120 Prospect St, Step By Step Physical Therapy, Attica, NY 14011 | 2006-01-25 |
| 1487059176 | Young Sung Jun | General Practice | 3203 Dunbar Road, Attica, NY 14011-0501 | 2014-10-24 |
| 1144479742 | Jennifer Smith | Licensed Practical Nurse | 122 Market St, Attica, NY 14011-1011 | 2008-09-18 |
| 1720130388 | Daryle Nathan Luplow | Chiropractor | 23 Main St, Attica, NY 14011-1022 | 2007-01-16 |
| 1437609450 | Attica Pharmacy, Inc. | Pharmacy | 2 Market St, Attica, NY 14011-1024 | 2016-10-13 |
| 1497049142 | Diane K Melven | Licensed Practical Nurse | 68 North St, Attica, NY 14011-1035 | 2011-05-29 |
| 1932424553 | Willcare | Home Health | 57 Main St, Attica, NY 14011-1038 | 2010-04-07 |
| 1205312758 | Baley Mallon | Licensed Practical Nurse | 6 Main St Apt B, Attica, NY 14011-1064 | 2018-07-18 |
| 1790341840 | Carrie Rengert | Licensed Practical Nurse | 29 Northview Park, Attica, NY 14011-1111 | 2019-05-14 |
| Find all providers in zip 14011 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487059176 | Young Sung Jun | General Practice | 3203 Dunbar Road, Attica, NY 14011-0501 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| 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.