Fatuma Midamba MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35073702M Issued in OH

Legal business name

FATUMA MIDAMBA MD INC.

Practice address

3619 Park East Dr
205 S
Beachwood, OH 44122-4330

Phone

(216) 591-0942

Fax

(440) 834-1902

NPI assigned

Jul 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fatuma Midamba, M.D.

Title

Owner

Phone

(440) 834-1833

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1003849597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24160",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441240160",
            "telephone_number": "216-233-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR",
            "address_2": "205 S",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-591-0942",
            "fax_number": "440-834-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATUMA MIDAMBA MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "MIDAMBA",
        "authorized_official_first_name": "FATUMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-834-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073702M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9361741",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Vasile Farkas, DDS
• Stephanie Farkas
• Karen Farley, MA
• Rhonesia Farmer
• Asma Fatima
• Cassandra Fazekas
• Gregory Malcolm Fedele, M.D. FACS
• Anita R Federici, PHD
• Lexus R Fedorko
• Dianne Elizabeth Felder

• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.