SHABAN MAHMOUD (NPI# 1194719286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194719286 |
| Entity Type | Individual |
| Full Name | SHABAN MAHMOUD |
| Credential | MD |
| Practice Address |
1330 Coshocton Ave Mount Vernon OH 43050-1440 |
| Practice Telephone | 7403939000 |
| Mailing Telephone | 7403939000 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2009-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
74977 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000207469 | 01 | |
| OH | 2083632 | 05 |
| Street Address |
1330 COSHOCTON AVE |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175540 | Knox Diagnostic Imaging LLC | Specialist | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2005-06-24 |
| 1568079036 | Ashlee Sloan | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2020-09-28 |
| 1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
| 1083236921 | Knox Community Hospital | Rehabilitation Unit | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2020-05-14 |
| 1235606328 | Allison Raye Doup | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2018-10-27 |
| 1528534955 | Brandi Le Ann Pennington | Family Medicine | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2018-10-24 |
| 1215448626 | Jessica Smith | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-10-12 |
| 1124542006 | Larry Lee Weckesser | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-08-01 |
| 1063934081 | Elizabeth Ann Powell | Specialist/Technologist | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-07-11 |
| 1427579895 | Phillip Andrew Newman | Registered Nurse | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396919544 | Naga Srinivas Sirikonda | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2008-04-18 |
| 1396879961 | Curators University of Mo | Internal Medicine | 600 N Main St, Mount Vernon, MO 65712-1004 | 2007-03-15 |
| 1174667570 | Soumya Parimi | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2007-02-18 |
| 1053359158 | Cielo Marie Maca | Internal Medicine | 600 N Main St, Mount Vernon, MO 65712-1004 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891236733 | Jing Gennie Wang | Internal Medicine | 473 W 12th Ave Ste 201, Columbus, OH 43210-1252 | 2017-03-11 |
| 1083093546 | Waleed F Nemer Md Inc | Internal Medicine | 908 E Waterloo Rd Ste 1a, Akron, OH 44306-3928 | 2015-05-29 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| 1083059182 | Matthew Thomas Siuba | Internal Medicine | 9500 Euclid Ave # L2-300, Cleveland, OH 44195-0001 | 2013-05-02 |
| 1831431162 | David Healy Do Pulmonary Medicine LLC | Internal Medicine | 3693 Darby Knolls Blvd, Hilliard, OH 43026-7293 | 2013-03-25 |
| 1417207010 | Jeffrey David Parker | Internal Medicine | 2121 Herrick Ave., Cincinnati, OH 45208-3214 | 2012-09-12 |
| 1780947077 | Ayman O Alsharbini | Internal Medicine | 425 West 5th St, East Liverpool, OH 43920 | 2012-06-21 |
| 1386942910 | Pulmonary Associates LLC | Internal Medicine | 3006 N. Dixie Hwy., Suite 102, Troy, OH 45373 | 2011-03-07 |
| 1144523630 | Jordan Atanasov Kazakov | Internal Medicine | 11100 Euclid Ave # Bolwell 6, Cleveland, OH 44106-1716 | 2010-12-06 |
| 1649402751 | Anthony Michael Boulos | Internal Medicine | 960 Windham Ct Ste 1, Youngstown, OH 44512-5087 | 2009-08-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
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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.