MUSTAFA S MAWIH (NPI# 1245641307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245641307 |
| Entity Type | Individual |
| Full Name | MUSTAFA S MAWIH |
| Credential | M.D. |
| Practice Address |
830 Thomas More Pkwy Ste 200 Edgewood KY 41017-5103 |
| Mailing Address |
4600 Montgomery Rd Ste 105 Cincinnati OH 45212-2600 |
| Practice Telephone | 8593416281 |
| Practice Fax Number | 8593414661 |
| Mailing Telephone | 5134875305 |
| Mailing Fax Number | 5134875317 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35136046 | OH | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
68544 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
830 THOMAS MORE PKWY STE 200 |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1316136567 | Elisha Lancaster | Internal Medicine | 830 Thomas More Parkway, Ste 202, Edgewood, KY 41017 | 2007-10-23 |
| 1326083379 | Thomas Shaughnessy | Internal Medicine | 830 Thomas More Pkwy Ste 202, Edgewood, KY 41017-5103 | 2006-06-16 |
| 1649427428 | Rakesh Kumar | Internal Medicine | 830 Thomas More Pkwy Ste 202, Edgewood, KY 41017-5103 | 2008-08-22 |
| 1225201858 | Emily Sue Kenner | Internal Medicine | 830 Thomas More Pkwy Ste 202, Edgewood, KY 41017-5103 | 2008-04-03 |
| 1881630143 | Isaac Thomas | Internal Medicine | 830 Thomas More Pkwy, #202, Edgewood, KY 41017-5102 | 2006-06-22 |
| 1558302851 | Frank Giese | Internal Medicine | 830 Thomas More Pkwy, #404, Edgewood, KY 41017-5102 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665807 | Means Adult Primary Care Clinic of Kentucky Pllc | Internal Medicine | 1145 W Lexington Ave Fl 2, Winchester, KY 40391-1290 | 2019-12-02 |
| 1932587300 | Hopkinsville Kidney Care Pllc | Internal Medicine | 215 Burley Ave, Suite 2, Hopkinsville, KY 42240-8725 | 2015-05-18 |
| 1124419668 | Hardin County Primary Care Pllc | Internal Medicine | 912 Woodland Dr, Suite B, Elizabethtown, KY 42701-2795 | 2015-02-05 |
| 1174784466 | Jennifer Hughes Shuemaker | Internal Medicine | 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 | 2008-06-19 |
| 1518138759 | Muhammad Irfan Atiq | Internal Medicine | 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 | 2008-03-16 |
| 1881874592 | Eastern Kentucky Kidney Care, Psc | Internal Medicine | 141 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2007-11-09 |
| 1932398120 | Sujata Reddy, Md., Pllc | Internal Medicine | 930 Happy Valley Rd, Glasgow, KY 42141-1332 | 2007-10-24 |
| 1881887685 | Hania Kassem | Internal Medicine | 716 W. Broadway, Louisville, KY 40202-2216 | 2007-08-24 |
| 1245443555 | Vibha S Nayak | Internal Medicine | 3813 Zaring Mill Cir, Louisville, KY 40241-3037 | 2007-05-07 |
| 1659402287 | Dawn Jaclyn Caster | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
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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.