DR. SAMIR ZAKI ABU-GHAZALEH (NPI# 1821066184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821066184 |
| Entity Type | Individual |
| Full Name | DR. SAMIR ZAKI ABU-GHAZALEH |
| Credential | MD |
| Practice Address |
1000 E 21st St Suite 3000 Sioux Falls SD 57105-1035 |
| Practice Telephone | 6053313898 |
| Mailing Telephone | 6053313898 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2009-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
SD2615 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | RR MEDICARE | P00741293 | 01 |
| SD | 6200292 | 05 |
| Street Address |
1000 E 21ST ST SUITE 3000 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144488537 | Avera Mckennan | Pediatrics | 1000 E 21st St, Ste 3100, Sioux Falls, SD 57105-1035 | 2008-06-02 |
| 1548396054 | Luis Alexander Rojas-espaillat | Obstetrics & Gynecology | 1000 E 21st St, Ste. 3000, Sioux Falls, SD 57105-1035 | 2007-02-26 |
| 1952436099 | Pediatric Hematology Oncology Pharmacy Ltc | Pharmacy | 1000 E 21st St, Suite 3100, Sioux Falls, SD 57105-1035 | 2007-02-22 |
| 1003956343 | Pediatric Hematology Clinic Ltd | Pediatrics | 1000 E 21st St, Suite 3100, Sioux Falls, SD 57105-1035 | 2007-02-07 |
| 1669544763 | Obstetrics and Gynecology and Gynecologic Oncology PC | Obstetrics & Gynecology | 1000 E 21st St, Suite 3000, Sioux Falls, SD 57105-1035 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1932346251 | Avera Mckennan | Obstetrics & Gynecology | 1000 E. 23rd St., Ste. 350, Sioux Falls, SD 57105-2140 | 2009-01-08 |
| 1548396054 | Luis Alexander Rojas-espaillat | Obstetrics & Gynecology | 1000 E 21st St, Ste. 3000, Sioux Falls, SD 57105-1035 | 2007-02-26 |
| 1669544763 | Obstetrics and Gynecology and Gynecologic Oncology PC | Obstetrics & Gynecology | 1000 E 21st St, Suite 3000, Sioux Falls, SD 57105-1035 | 2006-11-14 |
| 1174529929 | Maria C Bell | Obstetrics & Gynecology | 1500 W 22nd St, Ste 102, Sioux Falls, SD 57105-1503 | 2005-06-27 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.