SAM HAWATMEH, M D, P C (NPI# 1952345795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952345795 |
| Entity Type | Organization |
| Organization Name | SAM HAWATMEH, M D, P C |
| Practice Address |
6651 Chippewa St Suite 202 Saint Louis MO 63109-2538 |
| Practice Telephone | 3146458200 |
| Practice Fax Number | 3146458244 |
| Mailing Telephone | 3146458200 |
| Mailing Fax Number | 3146458244 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | ISAM S HAWATMEH (PRESIDENT) |
| Authorized Official Telephone | 3146458200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE | 26810 | 01 |
| MO | PARTNER HMO | 305572 | 01 |
| MO | AETNA | 4039765 | 01 |
| MO | MERCY | E31401 | 01 |
| MO | FIRST HORIZON | 1125337 | 01 |
| MO | CARE PARTNER | 1140267 | 01 |
| MO | CMR | 178V178 | 01 |
| MO | CIGNA | PC23505 | 01 |
| MO | GHP | 178V178 | 01 |
| MO | BLUE CHOICE | 26810 | 01 |
| MO | HEALTHCARE | 55772 | 01 |
| MO | UNITED HEALTHCARE | STL040029 | 01 |
| MO | MEDICAL COMP | STM040053 | 01 |
| MO | 507424406 | 05 | |
| MO | COMMUNITY | 889041 | 01 |
| MO | HEALTHLINK | 125694 | 01 |
| MO | RRMCR | CG6708 | 01 |
| Street Address |
6651 CHIPPEWA ST SUITE 202 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460368 | Esb Medical LLC | Durable Medical Equipment & Medical Supplies | 6651 Chippewa St, Suite 219, Saint Louis, MO 63109-2538 | 2005-07-14 |
| 1659736619 | Palmetto Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 6651 Chippewa St, Suite 308, Saint Louis, MO 63109-2538 | 2015-12-17 |
| 1568714335 | Parisa Kahromi | Registered Nurse | 6651 Chippewa St, Suite 224, Saint Louis, MO 63109-2538 | 2012-10-04 |
| 1003179201 | Menzies Institute of Recovery From Addiction, LLC | Substance Abuse Rehabilitation Facility | 6651 Chippewa St, Suite 224, Saint Louis, MO 63109-2538 | 2012-06-21 |
| 1043512296 | Randall Keys | Counselor | 6651 Chippewa St, Suite 224, Saint Louis, MO 63109-2538 | 2010-11-20 |
| 1407164098 | South City Hearing & Audiology, LLC | Hearing Aid Equipment | 6651 Chippewa St, Suite 217, Saint Louis, MO 63109-2538 | 2010-09-17 |
| 1184932824 | Paul Selvadurai Inc. | Internal Medicine | 6651 Chippewa St, Suite 214, Saint Louis, MO 63109-2538 | 2010-09-15 |
| 1124359237 | John P Marino Md LLC | Internal Medicine | 6651 Chippewa St, Suite 301, Saint Louis, MO 63109-2538 | 2010-01-29 |
| 1861729113 | Percy P Menzies | Registered Nurse | 6651 Chippewa St, Saint Louis, MO 63109-2538 | 2009-11-06 |
| 1699948745 | Ashley A Emmert | Allergy & Immunology | 6651 Chippewa St, Suite 312, Saint Louis, MO 63109-2538 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223933 | Glenn C. Jacobsen | Internal Medicine | 7 Carrswold Dr, Saint Louis, MO 63105-2914 | 2020-01-04 |
| 1396305868 | Kevin Colin O'fee | Internal Medicine | 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 | 2019-06-17 |
| 1144740200 | Michael Slade | Internal Medicine | 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 | 2017-06-20 |
| 1386171312 | Niaz Memon | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-05-22 |
| 1043746027 | Paul David Olivo | Internal Medicine | 639 W Polo Dr, Saint Louis, MO 63105-2635 | 2017-05-11 |
| 1649706243 | Jared Frisby | Internal Medicine | 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 | 2017-05-03 |
| 1518417708 | Md At Home LLC | Internal Medicine | 6 Portland Pl, Saint Louis, MO 63108-1204 | 2016-10-11 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1831540863 | John Kirby Krause Jr. | Internal Medicine | 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 | 2016-06-30 |
| 1104277458 | Vedica Sharma | Internal Medicine | 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 | 2016-06-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.