DR. MARIAM A. EID (NPI# 1861522005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861522005 |
| Entity Type | Individual |
| Full Name | DR. MARIAM A. EID |
| Credential | MD |
| Practice Address |
2600 Ferry St Lafayette IN 47904-3055 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Practice Fax Number | 7654487518 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01067785A | IN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 2007003798 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | # PENDING | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000665933 | 01 |
| IN | 200981380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| Street Address |
2600 FERRY ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524839 | Eric Marcus Orenstein | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2005-08-03 |
| 1972149359 | Paige Ubel | Occupational Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-11-21 |
| 1053953695 | Emily Ann Fusiek | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-15 |
| 1700428836 | Victoria Logan Mccain | Nurse Practitioner | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-10 |
| 1700361847 | Heather Richey | Physical Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-09-25 |
| 1588157218 | Shelby Lee Mitchell | Occupational Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-06-07 |
| 1649760885 | Elaine J Budreau | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904 | 2018-05-14 |
| 1487172342 | Abhijeet Ahluwalia | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-31 |
| 1518482603 | Christine Annette Pattison | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-09 |
| 1013438407 | Pallavi Ram Shinde | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| 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 |
|---|---|---|---|---|
| 1417560574 | Scl Health Medical Group - Denver, LLC | Obstetrics & Gynecology | 300 Exempla Cir Ste 400, Lafayette, CO 80026-3396 | 2020-08-28 |
| 1124645676 | Michelle R Stutes, Md Apm LLC | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy Ste 412, Lafayette, LA 70508-6950 | 2020-07-01 |
| 1578187191 | Colorado Ob/gyn Partners, Pllc | Obstetrics & Gynecology | 300 Exempla Cir Ste 470, Lafayette, CO 80026-3396 | 2020-05-29 |
| 1174015945 | Southern Obgyn LLC | Obstetrics & Gynecology | 155 Hospital Dr Ste 410, Lafayette, LA 70503-2852 | 2018-06-06 |
| 1548671050 | University Healthcare Alliance | Obstetrics & Gynecology | 911 Moraga Rd Ste 201, Lafayette, CA 94549-4500 | 2014-05-19 |
| 1881913168 | Katie Lynn Towles | Obstetrics & Gynecology | 3920 St Francis Way Ste 100, Franciscan Physician Network, Lafayette, IN 47905-4917 | 2010-05-25 |
| 1669708798 | Sidney Jay Adler | Obstetrics & Gynecology | 312 Jasper Peak Ct, Lafayette, CO 80026-8889 | 2009-10-24 |
| 1447493135 | Ashley Elizabeth Pierson | Obstetrics & Gynecology | 353 Riverton Rd, Lafayette, CO 80026-9022 | 2009-04-11 |
| 1205077278 | Amanda Lemoine Alleyn | Obstetrics & Gynecology | 155 Hospital Dr Ste 303, Lafayette, LA 70503-2852 | 2009-03-20 |
| 1588869309 | Michelle R Stutes | Obstetrics & Gynecology | 4630 Amb Caffery Pkwy Ste 408, Lafayette, LA 70508-6950 | 2007-06-20 |
| Find all providers in LAFAYETTE | ||||
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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.