OMAR A KHASHABA (NPI# 1942467576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942467576 |
| Entity Type | Individual |
| Full Name | OMAR A KHASHABA |
| Credential | M.D. |
| Practice Address |
110 Longwood Ave Rockledge FL 32955-2828 |
| Practice Telephone | 3216362211 |
| Mailing Telephone | 3216362211 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME112373 | FL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | ME112373 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RRMEDICARE PTAN | P02008560 | 01 |
| FL | MEDICARE PTAN | FY303T | 01 |
| FL | MEDICARE PTAN | FY303P | 01 |
| FL | 004665600 | 05 |
| Street Address |
110 LONGWOOD AVE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192244 | Wuesthoff Emergency Physicians Pa | Emergency Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2005-05-31 |
| 1962011809 | Sydney Bovender | Dietitian, Registered | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2020-07-27 |
| 1235663899 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-20 |
| 1437682127 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-10 |
| 1306200522 | Rockledge Emergency Group LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-13 |
| 1538523295 | Rockledge Physician Services, LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-08 |
| 1497111983 | Infectious Diseases Specialist of Brevard LLC | Internal Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-01-13 |
| 1679943740 | John Wesley Rothwell IIi | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-10-02 |
| 1922484104 | Lucas Marlatt | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-08-10 |
| 1447631049 | Ioana Workman | Pharmacist | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033550587 | Floridian Hospitalist Services, LLC | Hospitalist | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2013-07-12 |
| 1184983579 | David Stewart | Hospitalist | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2012-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927632 | Leonor Balart | Hospitalist | 4302 W Carmen St Unit 5, Tampa, FL 33609-2270 | 2020-09-19 |
| 1114484813 | Best Medical LLC | Hospitalist | 11604 Orange Palm Way, Tampa, FL 33626-4746 | 2019-02-28 |
| 1053878157 | Hospitalists One, LLC | Hospitalist | 900 S Pine Island Rd Ste 205, Plantation, FL 33324-3920 | 2019-02-25 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1538652979 | Geobel Buchillon | Hospitalist | 4308 Alton Rd Ste 860, Miami Beach, FL 33140-4558 | 2018-06-11 |
| 1619469483 | Hospitalis10 Inc | Hospitalist | 5000 W Oklnd Prk Blvd, Lauderdale Lakes, FL 33313-1503 | 2018-06-06 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1467965947 | Acure Medical Group Corp | Hospitalist | 1261 Sw 153rd Path, Miami, FL 33194-2678 | 2017-11-07 |
| 1760992317 | Casey Miller | Hospitalist | 400 Health Park Blvd Ste 221, St Augustine, FL 32086-5784 | 2017-10-10 |
| 1720598741 | Gabrielle Mount Borrero | Hospitalist | 1611 Nw 12th Ave Rm 316e, Miami, FL 33136-1005 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OMAR A KHASHABA.
| 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.