Dr. Yakub I. Khan
Internal Medicine (Gastroenterology)

Address: 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027
Phone: 5708195780

Dr. Yakub I. Khan (NPI# 1447406954) 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) 1447406954
Entity Type Individual
Full Name Dr. Yakub I. Khan
Credential M.D.
Gender Male
Practice Address 1000 E Mountain Blvd
Wilkes Barre
PA 18711-0027
Practice Telephone 5708195780
Practice Fax Number 5708195753
Mailing Address 100 N Academy Ave
Danville
PA 17822-3034
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-08-15
Last Update Date 2008-08-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RG0100X Internal Medicine · Gastroenterology Allopathic & Osteopathic Physicians MD434427 PA

Physician Overview

NPI 1447406954
PAC ID by PECOS 4082773528
Professional Enrollment ID I20081112000592
Full Name Yakub I Khan
Organization Legal Name GEISINGER CLINIC
Phone Number 5708267300
Gender M
Graduation Year 1996
Primary Specialty GASTROENTEROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 5395657001
Number of Group Practice Members 2590
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390270 GEISINGER WYOMING VALLEY MEDICAL CENTER
390001 GEISINGER-COMMUNITY MEDICAL CENTER

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932293594 Joseph John Andrews Internal Medicine 87 East Main St, Wilkes Barre, PA 18705-2811 2006-10-03
1184645129 Masoud Firouzi Internal Medicine 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2006-07-23
1639134281 Kevin M. Parent Internal Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871128447 Millcreek Community Hospital Internal Medicine 5401 Peach St Ste 3600, Erie, PA 16509-2601 2020-03-04
1871060707 Gastrointestinal Wellness Clinic LLC Internal Medicine 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 2018-10-29
1881131472 Paul Frey Spears Internal Medicine 490 Shady Dell Rd, York, PA 17403-4483 2017-01-20
1134527666 Noble Medical Care Internal Medicine 6760 Market Street, 1st Floor, Upper Darby, PA 19082 2014-12-16
1598189631 Richard B. Lynn Internal Medicine 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 2014-02-10
1427390822 Meeta Desai Internal Medicine Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 2013-03-23
1225372519 Scott Howell Wright Internal Medicine 1118 Riverview Ln, Conshohocken, PA 19428-2964 2012-11-27
1952665481 Excela Health Physician Practices, Inc. Internal Medicine 530 South St Ste G, Greensburg, PA 15601-2775 2012-06-29
1033479704 William Blake Huntington Internal Medicine 1088 W Baltimore Pike Ste 2407, Media, PA 19063 2012-05-29
1497021018 Good Samaritan Physician Services Internal Medicine 761 Norman Drive, Lebanon, PA 17042-7497 2012-03-28
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Office Location

Street Address 1000 E MOUNTAIN BLVD
City WILKES BARRE
State PA
Zip Code 18711-0027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598760431 Michael J. Gallagher Specialist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2005-06-16
1497387062 Brittany Natassia Shipula Nurse Practitioner 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-02-11
1043850787 Nicholas Morreale Nurse Anesthetist, Certified Registered 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-01-10
1093354268 Tanner Thomas Registered Nurse 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-01-05
1467091140 Erica Renee Madden Pharmacist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2019-12-30
1285272989 Ashley Diane Tarabek Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2019-12-13
1134766116 Alyssa Erin Thomas Dietitian, Registered 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2019-12-09
1316583818 Donna L Menig Nurse Practitioner 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2019-11-20
1598308777 Corey Scott Rossi Emergency Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2019-10-21
1518508910 Carissa Smith Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2019-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1578601332 Amy L. Opachko Physician Assistant 100 E. Mountain Dr., Geisinger Wyoming Valley, Wilkes Barre, PA 18711 2007-02-02
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
Find all providers in zip 18711

Competitor

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City WILKES BARRE
Zip Code 18711

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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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