HICHAM ANIS MOUKADDAM (NPI# 1750492450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750492450 |
| Entity Type | Individual |
| Full Name | HICHAM ANIS MOUKADDAM |
| Credential | MD |
| Practice Address |
730 W Market St Lima OH 45801-4602 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 8002888325 |
| Practice Fax Number | 4198665453 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0044549 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
730 W MARKET ST |
| City | LIMA |
| State | OH |
| Zip Code | 45801-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844782 | Vincent Lee Yahl | Pharmacist | 730 W Market St, Attn: Pharmacy, Lima, OH 45801-4602 | 2005-07-11 |
| 1417562588 | Kendall Germann | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-09-15 |
| 1053926121 | Libby Nicole Stabler | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-09-15 |
| 1932717725 | Jordan Wade | Nurse Practitioner | 730 W Market St, Lima, OH 45801-4602 | 2020-07-17 |
| 1942828173 | Krista Leigh Shepherd | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-07-14 |
| 1588283006 | Adnan Ejupovic | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-14 |
| 1932728490 | John Paul Sevcik | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-14 |
| 1396374575 | Jarred Jones | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1164051355 | Lisa Mary Tran | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1922637479 | Vitaliy Kovalevych | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780647560 | Eric V Jelinger | Radiology | 850 Tiqua Trail, Lima, OH 45805-4705 | 2006-04-11 |
| 1144209420 | Hassan B Semaan | Radiology | 4132 Elida Rd, Lima, OH 45807-1548 | 2006-01-13 |
| 1962401182 | Daniel C Schultz | Radiology | 1001 Bellefontaine Avenue, Lima Memorial Health System, Lima, OH 45804-2800 | 2005-07-19 |
| 1639375389 | Robert Cook | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2007-06-21 |
| 1275742629 | Jeffrey Alan Miller | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2007-05-22 |
| 1740301159 | Andrew J Rabe | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2007-04-03 |
| 1972664324 | Early Detection Imaging, LLC | Radiology | 525 N Eastown Rd, Lima, OH 45807-2268 | 2006-12-12 |
| 1811912819 | Nicole Ann Nelson | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2006-07-12 |
| 1396772174 | Alan Peter Schlesinger | Radiology | 1001 Bellefontaine Avenue, Fsh Radiology, Inc., Lima, OH 45804-2800 | 2006-06-27 |
| 1710943691 | Brett A Rush | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2006-04-21 |
| Find all providers in LIMA | ||||
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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.