JEAN B MOUBARAK (NPI# 1750385720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750385720 |
| Entity Type | Individual |
| Full Name | JEAN B MOUBARAK |
| Credential | MD |
| Practice Address |
120 E 2nd St Fl 2 Erie PA 16507-1537 |
| Mailing Address |
333 State St Ste 103 Erie PA 16507-1450 |
| Practice Telephone | 8144568980 |
| Practice Fax Number | 8144510443 |
| Mailing Telephone | 8148777157 |
| Mailing Fax Number | 8148772844 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2018-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
35-080765 | OH | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
223961-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD067456-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001847776 | 05 |
| Street Address |
120 E 2ND ST FL 2 |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335220 | Gurjaipal S Kang | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2005-06-08 |
| 1831692789 | Karlee R Murawski | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2018-03-16 |
| 1356859359 | Benjamin D Kies | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1579 | 2018-01-12 |
| 1700397213 | Shelby L Peterson | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2017-10-24 |
| 1346762085 | Ryan M Francis | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2017-07-14 |
| 1538601034 | Matthew J Hodas | Nurse Practitioner | 120 E 2nd St Fl 2, Erie, PA 16507-1579 | 2016-11-15 |
| 1992255046 | Samantha L Jenkins | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2016-10-12 |
| 1376099325 | Trysha A Hopkins | Nurse Practitioner | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2016-08-30 |
| 1396116091 | Jennifer B Schaaf | Nurse Practitioner | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2015-10-07 |
| 1639549710 | Gina M Fulgenzio | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1902114911 | Saint Vincent Consultants In Cardiovascular Diseases | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2010-09-24 |
| 1235133281 | Kelly L Hayes | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164923587 | Regional Cardiac Monitoring, Inc | Internal Medicine | 125 N Franklin Dr Ste 4, Washington, PA 15301-5892 | 2018-02-21 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1952828550 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 501 S 54th St Ste 126, Phila, PA 19143-1900 | 2017-08-24 |
| 1285150458 | Nazareth Physician Services, Inc. | Internal Medicine | 2701 Holme Ave Ste 100, Phila, PA 19152-2029 | 2017-08-18 |
| 1851657548 | Butler Medical Providers | Internal Medicine | 127 Oneida Valley Rd Ste 203, Butler, PA 16001-2239 | 2012-04-06 |
| 1902114788 | Robert Bruce Kleiman | Internal Medicine | 129 Overhill Rd, Bala Cynwyd, PA 19004-2228 | 2010-09-15 |
| 1477699015 | Rajat Deo | Internal Medicine | 3400 Spruce St Fl 2, Philadelphia, PA 19104-4229 | 2007-01-30 |
| 1780744839 | Robert James Hoover | Internal Medicine | 419 Denniston St Apt 3, Pittsburgh, PA 15206-4451 | 2006-12-11 |
| 1245255298 | Pittsburgh Cardiac Electrophysiology Associates PC | Internal Medicine | 5125 Liberty Ave, Pittsburgh, PA 15224-2217 | 2006-07-12 |
| 1871534826 | Methodist Associates In Healthcare Jmhc | Internal Medicine | 1317-19 Wolf Street, Philadelphia, PA 19148-2934 | 2006-06-09 |
| 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.