DR BADI ALTAWIL MD LLC (NPI# 1891751996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891751996 |
| Entity Type | Organization |
| Organization Name | DR BADI ALTAWIL MD LLC |
| Practice Address |
4439a Mahoning Ave Nw Warren OH 44483-1932 |
| Practice Telephone | 3308476527 |
| Practice Fax Number | 3308476572 |
| Mailing Telephone | 3308476527 |
| Mailing Fax Number | 3308476572 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | JULIE ALTAWIL (OFFICE MANAGER) |
| Authorized Official Telephone | 3308476527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35072864 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2137842 | 05 |
| Street Address |
4439A MAHONING AVE NW |
| City | WARREN |
| State | OH |
| Zip Code | 44483-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281797 | Badi Altawil | Internal Medicine | 4439a Mahoning Ave Nw, Warren, OH 44483-1932 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770111072 | Olive Branch Medical Associates Pllc | Family Medicine | 1270 County Road 4755, Warren, TX 77664-7714 | 2020-03-31 |
| 1689169542 | Warren Family Practice, Pllc | Family Medicine | 26000 Hoover Rd Ste 105, Warren, MI 48089-1167 | 2018-06-24 |
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1174969927 | Vikas Sacher | Family Medicine | Warren General Hospital, 2 W Crescent Park, Warren, PA 16365-2111 | 2013-05-21 |
| 1609108679 | Douglas Luke Kehres | Family Medicine | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2010-02-02 |
| 1891026019 | Gary William Stucke | Family Medicine | 511 Kenmore Ave., Ne, Warren, OH 44483-5521 | 2010-01-28 |
| 1790014835 | Jeffery Elwood Hess | Family Medicine | 30400 Mound Rd, Manufacturing Bldg. C, Warren, MI 48092-2029 | 2009-12-21 |
| 1295977007 | Frank A. Diponio Jr. D.o. P.C. | Family Medicine | 29250 Heritage Parkway, Warren, MI 48092 | 2009-03-26 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1598941148 | Oleh Bolukh | Family Medicine | 2539 E 12 Mile Rd, Warren, MI 48092-5648 | 2008-01-14 |
| Find all providers in WARREN | ||||
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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.