Dr.Honeid M. Baxamusa M.D., M.R.C.P.(U.K.)

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DR.HONEID M. BAXAMUSA M.D., M.R.C.P.(U.K.)

Practice address

460 Coventry LN
Suite 205
Crystal Lake, IL 60014-7561

Phone

(815) 455-1550

Fax

(815) 455-9515

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Honeid M. Baxamusa, M.D.

Title

Owner

Phone

(815) 455-1550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851303580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 COVENTRY LN",
            "address_2": "SUITE 205",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147561",
            "telephone_number": "815-455-1550",
            "fax_number": "815-455-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 COVENTRY LN",
            "address_2": "SUITE 205",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147561",
            "telephone_number": "815-455-1550",
            "fax_number": "815-455-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.HONEID M. BAXAMUSA M.D., M.R.C.P.(U.K.)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAXAMUSA",
        "authorized_official_first_name": "HONEID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-455-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.