DR. MOHAMMED SADAT AZIZ (NPI# 1083912828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083912828 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMED SADAT AZIZ |
| Credential | D.O |
| Practice Address |
1585 3rd St Fort Polk LA 71459-5102 |
| Practice Telephone | 3375318570 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0102203366 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992780456 | Mohammed A Aziz | Internal Medicine | 1 Lee Ln, Lagrangeville, NY 12540-6326 | 2005-12-07 |
| 1669573531 | Mohammed Humayun Aziz | Radiologic Technologist | 941 Medina Dr, Arlington, TX 76017-6565 | 2006-09-25 |
| 1508886649 | Mohammed S Aziz | Hospitalist | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-07-20 |
| Street Address |
1585 3RD ST |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128929 | Francis H Boudreau | Pediatrics | 1585 3rd St, Fort Polk, LA 71459-5102 | 2005-07-14 |
| 1871100727 | Steven George Reed | Physician Assistant | 1585 3rd St, Fort Polk, LA 71459-5102 | 2020-09-24 |
| 1366006579 | Carmen Arvelo | Social Worker | 1585 3rd St, Fort Polk, LA 71459-5102 | 2019-04-24 |
| 1669944096 | Jalynn Mckenzie | Physical Therapist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2018-12-25 |
| 1770054652 | Paul Timothy Luong | Pharmacist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2018-12-17 |
| 1063982734 | Derrick Bieller | Physician Assistant | 1585 3rd St, Fort Polk, LA 71459-5102 | 2018-11-26 |
| 1497242242 | Abigail Mays Kenney | Physical Therapist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2018-04-17 |
| 1003314352 | Timoteo Flores-bayer | Optometrist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2018-01-31 |
| 1770092108 | Johnpaul Norman | Social Worker | 1585 3rd St, Fort Polk, LA 71459-5102 | 2017-09-28 |
| 1497285779 | Alex Hradek | Dentist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2017-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1922524529 | Keith Allan Smiley | Dentist | 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 | 2017-08-16 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| Find all providers in zip 71459 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669811873 | Holly Kathleen Payne | General Practice | 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 | 2013-06-20 |
| 1134209125 | Jesse Dunn | General Practice | 1585 3rd St, Bjach, Fort Polk, LA 71459-5102 | 2006-10-16 |
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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.