MOHAMAD A ABDELAZEEZ KHALED (NPI# 1285825604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285825604 |
| Entity Type | Individual |
| Full Name | MOHAMAD A ABDELAZEEZ KHALED |
| Other Name | MOHAMAD ABDELAZEEEZ KHALED |
| Credential | MD |
| Practice Address |
2 Medical Center Drive Suite 503 Springfield MA 01199-1619 |
| Mailing Address |
1290 Silas Deane Hwy Hhc Cvo Wethersfield CT 06109-4337 |
| Practice Telephone | 4137945600 |
| Practice Fax Number | 4137945242 |
| Mailing Telephone | 8609729033 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 54621 | CT | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 262884 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 Seymour St Ste 1003, Hartford, CT 06106 | 8606962290 |
| Street Address |
2 MEDICAL CENTER DRIVE SUITE 503 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01199-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679556385 | Patrick E. Madden | Physician Assistant | 2 Medical Center Drive, Suite 406, Springfield, MA 01107 | 2005-11-28 |
| 1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
| 1215577366 | Daniel Rettori Teixeira | Physician Assistant | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-01-07 |
| 1891219572 | Sarah James Dalhaus | Nurse Practitioner | 2 Medical Center Drive, Springfield, MA 01107-1270 | 2017-08-03 |
| 1174866024 | Georgios Orthopoulos | Surgery | 2 Medical Center Drive, Suite 308, Springfield, MA 01107 | 2013-03-28 |
| 1184972994 | Harrison Lewis IIi | Physician Assistant | 2 Medical Center Drive, Suite 503, Springfield, MA 01107-1270 | 2012-08-28 |
| 1922393149 | Kristina Z Kramer | Surgery | 2 Medical Center Drive, Springfield, MA 01107-1270 | 2011-06-15 |
| 1083922041 | Katherine Paul | Social Worker | 2 Medical Center Drive, Suite 205, Springfield, MA 01199 | 2010-09-23 |
| 1578876694 | Leslie A Lyness | Neurological Surgery | 2 Medical Center Drive, Springfield, MA 01107-1270 | 2010-07-18 |
| 1518109875 | Daniel R Fish | Surgery | 2 Medical Center Drive, Springfield, MA 01107-1270 | 2009-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194211227 | Alice Perman Leveston | Social Worker | 759 Chestnut St # S2660, Springfield, MA 01199 | 2018-07-01 |
| 1043732415 | Calvin Keith Craig | Student in an Organized Health Care Education/Training Program | Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 | 2017-07-07 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| 1912231903 | Abistanand Ankam | Anesthesiology | 759 Chestnut St Department of Anesthesia, Baystate Medical Center, Holyoke, MA 01199 | 2009-09-24 |
| 1205099553 | Ejaz Khalid | Internal Medicine | 759 Chest Nut Street, Department of Internal Medicine Attn Linda Baillargeon, Springfield, MA 01199 | 2008-07-08 |
| 1184817926 | Asha Thomas | Pediatrics | 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 | 2007-08-24 |
| 1730381435 | Vicki Weld | Social Worker | 3300 Main Street, Suite 4a, Springfield, MA 01199 | 2007-06-04 |
| 1699976266 | Jim Maloney | Physical Therapist | 360 Birnie Avenue, Springfield, MA 01199 | 2007-05-30 |
| 1881780690 | Lawrence C Peters | Psychiatry & Neurology | 759 Chestnut Street S5632, Springfield, MA 01199 | 2006-10-05 |
| 1366460222 | Stephen A Luippold | Registered Nurse | 759 Chesnut Street, S2676, Springfield, MA 01199 | 2006-07-18 |
| Find all providers in zip 01199 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1194080010 | Scott B Raymond | Neurological Surgery | 2 Medical Center Dr Ste 503, Springfield, MA 01107-1273 | 2012-07-06 |
| 1396988051 | Kevin J Mansfield | Neurological Surgery | 1229 E Seminole St Ste 220, Springfield, MO 65804 | 2009-04-10 |
| 1881853158 | Mayur Jayarao | Neurological Surgery | 3801 S National Ave Ste 700, Springfield, MO 65807 | 2008-06-03 |
| 1164691358 | Donald Hall Pearson | Neurological Surgery | 5116 Eagle Rdg, Springfield, IL 62711-7811 | 2008-02-21 |
| 1750301875 | Jeffrey W. Cozzens | Neurological Surgery | 751 N Rutledge St Fl 3, Springfield, IL 62702-4968 | 2006-07-20 |
| 1972537132 | Alan M. Scarrow | Neurological Surgery | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2006-07-11 |
| 1780628719 | Andrew J Kokkino | Neurological Surgery | 3377 Riverbend Dr Fl 5, Springfield, OR 97477-8803 | 2006-06-16 |
| 1134613961 | Nathan Nordmann | Neurological Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2018-06-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01199 |
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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.