Dr. Walaa Ayoub Gabra Ayoub
Internal Medicine (Endocrinology, Diabetes & Metabolism)

Address: 1221 S Broadway, Endocrinology Dept., Lexington, KY 40504-2701
Phone: 8592584401

Dr. Walaa Ayoub Gabra Ayoub (NPI# 1396911624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396911624
Entity Type Individual
Full Name Dr. Walaa Ayoub Gabra Ayoub
Gender Male
Practice Address 1221 S Broadway
Endocrinology Dept.
Lexington
KY 40504-2701
Practice Telephone 8592584401
Practice Fax Number 8592584418
Mailing Address 1221 S Broadway
Endocrinology Dept.
Lexington
KY 40504-2701
Mailing Telephone 8592584401
Mailing Fax Number 8592584418
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-05-06
Last Update Date 2014-06-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 57.012693 OH
Yes 207RE0101X Internal Medicine · Endocrinology, Diabetes & Metabolism Allopathic & Osteopathic Physicians 46801 KY

Physician Overview

NPI 1396911624
PAC ID by PECOS 6901937259
Professional Enrollment ID I20140528002077
Full Name Walaa Ayoub Gabra Ayoub
Organization Legal Name NEW LEXINGTON CLINIC PSC
Phone Number 8598872484
Gender M
Graduation Year 1997
Primary Specialty ENDOCRINOLOGY
Group Practice PAC ID 3476457532
Number of Group Practice Members 214
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Office Location

Street Address 1221 S BROADWAY
ENDOCRINOLOGY DEPT.
City LEXINGTON
State KY
Zip Code 40504-2701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528060779 Nancy L. Burandt Anesthesiology 1221 S Broadway, Lexington, KY 40504-2701 2005-06-01
1174094999 Monika Mccowan Physician Assistant 1221 S Broadway, Lexington, KY 40504-2771 2018-12-06
1346724473 New Lexington Clinic Psc Internal Medicine 1221 S Broadway, Lexington, KY 40504-2701 2018-09-25
1790290831 Ashley B Arrington Nurse Anesthetist, Certified Registered 1221 S Broadway, Lexington, KY 40504-2701 2017-12-12
1013466523 Lauren Dice Smith Nurse Practitioner 1221 S Broadway, Lexington, KY 40504 2016-09-26
1073061768 Krista Johnson Nurse Practitioner 1221 S Broadway, Lexington, KY 40504-2701 2016-09-12
1770945560 Bethany Borders Dietitian, Registered 1221 S Broadway, Lexington, KY 40504-2701 2016-03-22
1104287820 Ashley P. Combest Nurse Anesthetist, Certified Registered 1221 S Broadway, Lexington, KY 40504-2701 2016-03-08
1477919934 Joseph A. Caldwell Nurse Anesthetist, Certified Registered 1221 S Broadway, Lexington, KY 40504-2701 2016-01-13
1326404617 Caroline Bennett Crowley Specialist/Technologist 1221 S Broadway, Lexington, KY 40504-2701 2016-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528554474 Hillcrest Pain & Spine Pllc Anesthesiology 853 Lane Allen Rd Ste 217, Lexington, KY 40504 2018-07-03
1366962474 Jessica Hope King Dentist 1330 Harrodsburg Road, Lexington, KY 40504 2017-06-21
1255861076 Mary Elizabeth Bailey Dentist 1330 Harrodsburg Rd, Lexington, KY 40504 2017-06-14
1356710669 Stephanie Vittitoe Counselor 1099 S Broadway Ste 260 and 280, Lexington, KY 40504 2015-09-16
1295172211 Alan Kidon Podiatrist 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 2013-05-31
1093159022 Elaine Patterson Alexander Internal Medicine 330 Waller Ave Ste 100, Lexington, KY 40504 2013-04-21
1578847554 Linda W Mcdaniel Pharmacist 2181 Harrodsburg Road, Lexington, KY 40504 2011-10-07
1578844197 Amber Kincaid Ballard Nurse Practitioner Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 2011-09-09
1104118124 Harry W Tenfelde IIi Pharmacist 2284 Versailles Rd., Lexington, KY 40504 2011-05-10
1831495506 Horizon Headache Center, Pllc Physical Therapist 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 2011-01-28
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265826192 Sonia Ibuki Bennett Internal Medicine 800 Rose St Rm Mn-524, Lexington, KY 40536 2015-03-28
1063777316 Baptist Physicians Lexington, Inc Internal Medicine 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 2012-07-11
1376783092 Robert Charles Frederich Jr. Internal Medicine 1030 S Broadway, Suite 5, Lexington, KY 40504-2681 2009-02-21
1801811815 L Raymond Reynolds Internal Medicine 800 Rose St Ukmc, Mn 524 Division of Endocrinology, Lexington, KY 40536-0298 2006-07-12
1841299369 Kristina D. Humphries Internal Medicine 3084 Lakecrest Cir, Suite 100, Lexington, KY 40513-1706 2005-07-18
1336534189 Kamyar Asadipooya Internal Medicine 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 2015-03-30
1023372034 Indu Elizabeth Mathew Internal Medicine University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 2012-06-25
1922379015 Saint Joseph Medical Foundation, Inc. Internal Medicine 1401 Harrodsburg Rd, B160, Lexington, KY 40504-3751 2012-01-20
1558653162 Derick Adams Internal Medicine 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504 2011-05-15
1174825962 Gordon P Guthrie, Jr., M.d. Psc Internal Medicine 1780 Nicholasville Road, Suite 602, Lexington, KY 40503-1400 2010-11-30
Find all providers in LEXINGTON

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City LEXINGTON
Zip Code 40504

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Dataset Information

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.

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