ESAM IBRAHIM (NPI# 1316322159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316322159 |
Entity Type | Individual |
Full Name | ESAM IBRAHIM |
Practice Address |
2021 N.highland Ave Jackson TN 38305 |
Mailing Address |
2021 N Highland Ave # 12 Jackson TN 38305-4918 |
Practice Telephone | 6155069028 |
Mailing Telephone | 6155069028 |
Enumeration Date | 2015-07-22 |
Last Update Date | 2015-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 343900000X | Non-emergency Medical Transport (VAN) | 2016 84394 | TN | Transportation Services |
Street Address |
2021 N.HIGHLAND AVE |
City | JACKSON |
State | TN |
Zip Code | 38305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
Find all providers in zip 38305 |
Taxonomy Code | 343900000X |
Grouping | Transportation Services |
Classification | Non-emergency Medical Transport (VAN) |
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518581511 | Tracey Bryant | Non-emergency Medical Transport (VAN) | 1160 Rosewood St, Jackson, MS 39212-3966 | 2020-06-04 |
1831723154 | Love Thy Neighbor Non Emergency Transportation Service | Non-emergency Medical Transport (VAN) | 5970 Ferncreek Dr, Jackson, MS 39211-2723 | 2020-02-25 |
1154968048 | Anwar Abdalnour | Non-emergency Medical Transport (VAN) | 23 Carriage House Dr, Jackson, TN 38305-3934 | 2019-12-10 |
1679119564 | Medigo LLC | Non-emergency Medical Transport (VAN) | 782 N West St, Jackson, MS 39202-3017 | 2019-11-26 |
1194369264 | Simeon Sobenna Ekugwum | Non-emergency Medical Transport (VAN) | 18 Rob Ln, Jackson, MS 39212-5927 | 2019-11-01 |
1437717006 | Door 2 Door | Non-emergency Medical Transport (VAN) | 5110 Curtis St, Jackson, MS 39209-3201 | 2019-05-30 |
1053974816 | Tyrie Dunn | Non-emergency Medical Transport (VAN) | 2614 Highway 952, Jackson, LA 70748-3326 | 2019-04-17 |
1881157626 | Aa Medical Transit LLC | Non-emergency Medical Transport (VAN) | 811 E River Pl Ste 201, Jackson, MS 39202-3454 | 2019-04-09 |
1982166906 | Jnz Transport LLC | Non-emergency Medical Transport (VAN) | 950 W Monroe St Ste G300a, Jackson, MI 49202-2079 | 2019-04-01 |
1568931038 | William P Evans | Non-emergency Medical Transport (VAN) | 3979 Skyline Dr, Jackson, MS 39213-6055 | 2018-11-14 |
Find all providers in JACKSON |
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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.