AHMAD TARIQ ISMAIL (NPI# 1073680245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073680245 |
| Entity Type | Individual |
| Full Name | AHMAD TARIQ ISMAIL |
| Credential | MD |
| Practice Address |
110 East Byrd Ave Bonifay FL 32425 |
| Practice Telephone | 8505474799 |
| Practice Fax Number | 8505472305 |
| Mailing Telephone | 8505474799 |
| Mailing Fax Number | 8505472305 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME44907 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 043432900 | 05 | |
| FL | BCBS | 46198 | 01 |
| FL | 660056500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407277767 | Ahmad Mohamed Ismail | Registered Nurse | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2014-01-03 |
| 1104911650 | Ahmad M Ismail | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2006-10-03 |
| Street Address |
110 EAST BYRD AVE |
| City | BONIFAY |
| State | FL |
| Zip Code | 32425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650270 | Elizabeth H Lolley | Counselor | 1987 Remington Pl, Bonifay, FL 32425 | 2020-02-06 |
| 1891333274 | Traci Corbin | Registered Nurse | 603 Scenic Hill Circle, Bonifay, FL 32425 | 2019-12-16 |
| 1912339565 | Cb Health Ventures, Inc. | Assisted Living Facility | 108 Wagner Rd., Bonifay, FL 32425 | 2013-08-06 |
| 1558538868 | Patrick L Hawkins | Family Medicine | 3120 Southride Lane, Bonifay, FL 32425 | 2008-05-15 |
| 1477763860 | Pak Rural Health | Internal Medicine | 812 S. Weeks St, Bonifay, FL 32425 | 2007-05-23 |
| 1982775805 | County of Holmes Office Clerk Board of County Commissioners | Ambulance | 949 E. Hwy 90, Bonifay, FL 32425 | 2006-11-13 |
| 1710080890 | Bonifay Nsg & Rehab | Assisted Living Facility | 304 N Brock Ave, Bonifay, FL 32425 | 2006-09-06 |
| 1710949318 | Florida Department of Health | Public Health or Welfare | 603 Scenic Circle, Bonifay, FL 32425 | 2006-04-06 |
| 1366431702 | Holmes County Hospital Corporation | General Acute Care Hospital | 2600 Hospital Drive, Bonifay, FL 32425 | 2005-10-18 |
| 1457353310 | Muhammad Amin | Surgery | 402 East Byrd Ave, Bonifay, FL 32425 | 2005-08-11 |
| Find all providers in zip 32425 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952680464 | Hawkins Family Medicine LLC | Family Medicine | 3120 Southride Ln, Bonifay, FL 32425-3325 | 2011-08-15 |
| 1952697575 | Ahmad Tariq Ismail | Family Medicine | 110 E Byrd Ave, Bonifay, FL 32425-3004 | 2011-06-22 |
| 1558538868 | Patrick L Hawkins | Family Medicine | 3120 Southride Lane, Bonifay, FL 32425 | 2008-05-15 |
| 1043231780 | Bailey Family Practice | Family Medicine | 101 E Wisconsin Ave, Bonifay, FL 32425-1809 | 2006-07-21 |
| 1316970262 | Leonel P Welch Basulto | Family Medicine | 3269 Highway 90, Bonifay, FL 32425-6001 | 2006-07-07 |
| 1407416951 | Marietta Elise Thompson | Family Medicine | 3269 Highway 90, Bonifay, FL 32425-6001 | 2019-06-17 |
| 1316314305 | Contini Family Medicine LLC | Family Medicine | 3269 Highway 90, Bonifay, FL 32425-6001 | 2015-08-26 |
| 1124462981 | Heritage Family Medicine, LLC | Family Medicine | 101 E Wisconsin Ave, Bonifay, FL 32425-1809 | 2013-04-24 |
| 1306140942 | Panhandle Family Medicine, LLC | Family Medicine | 310 E Byrd Ave, Suite B, Bonifay, FL 32425-3068 | 2010-12-22 |
| 1851314330 | Leisa H Bailey | Family Medicine | 101 E Wisconsin Ave, Bonifay, FL 32425-1809 | 2006-07-25 |
| Find all providers in BONIFAY | ||||
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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.