DR. NASRELDIN MOHAMED IBRAHIM (NPI# 1750572053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750572053 |
| Entity Type | Individual |
| Full Name | DR. NASRELDIN MOHAMED IBRAHIM |
| Credential | MD |
| Practice Address |
311 W Fairchild St Danville IL 61832-3876 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2174317600 |
| Practice Fax Number | 2174317850 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036123853 | IL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 001651 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | TEMPORARY LICENCE NUMBER | 1651 | 01 |
| Street Address |
311 W FAIRCHILD ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801568 | Mary Cay Bolser | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2006-07-30 |
| 1154936672 | Mary E Eident | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-09-11 |
| 1629687041 | Allan Vega | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-07-31 |
| 1932672276 | Emily N Kozak | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2019-01-09 |
| 1033628201 | Lynn P Keller | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-09-20 |
| 1760904668 | Sarah L Hunsberger | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-07-12 |
| 1780104877 | Dareshia F Chambers-staple | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-06-21 |
| 1417311317 | Edward Caballero | Internal Medicine | 311 W Fairchild St, Danville, IL 61832-3876 | 2016-04-07 |
| 1578928586 | Julie Vann | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-12-17 |
| 1235524240 | Sara E Thai | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146793 | One Way Gynecology LLC | Obstetrics & Gynecology | 126 Daniel Dr, Suite B, Danville, KY 40422-2547 | 2016-10-26 |
| 1447637913 | Niloufar Ehsani Ahmad | Obstetrics & Gynecology | 112 Hospital Ln Ste 200, Danville, IN 46122-1998 | 2015-05-04 |
| 1659794311 | Donald Karl Joseph Rokosch | Obstetrics & Gynecology | 1433 N Walnut St, Danville, IL 61832-2516 | 2014-01-30 |
| 1316241656 | Rodney Lee Mirich | Obstetrics & Gynecology | 131 Creekside Dr, Danville, KY 40422-1066 | 2010-12-30 |
| 1194990747 | Frederick Ryan Anderson | Obstetrics & Gynecology | 909 San Ramon Valley Blvd Ste #214, Danville, CA 94526-4038 | 2008-04-24 |
| 1649483132 | Kamal Zaki Abusief | Obstetrics & Gynecology | 620 N Logan Avenue, Danville, IL 61832-1674 | 2007-05-08 |
| 1386714301 | Michele Louise Riopelle | Obstetrics & Gynecology | 917 San Ramon Valley Blvd Ste 190, Danville, CA 94526-4032 | 2006-11-08 |
| 1558465765 | Glenda F Kaplan | Obstetrics & Gynecology | 800 N Logan, Suite 105, Danville, IL 61832 | 2006-09-08 |
| 1386600989 | Loraine B Nolla | Obstetrics & Gynecology | 311 W. Fairchild St., Danville, IL 61832-3876 | 2006-04-22 |
| 1679551345 | Ian Johnston | Obstetrics & Gynecology | 112 Hospital Ln Ste 302, Danville, IN 46122-1998 | 2006-01-04 |
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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.