DR. FAIYAZ AHMED (NPI# 1396957247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396957247 |
| Entity Type | Individual |
| Full Name | DR. FAIYAZ AHMED |
| Credential | MD |
| Practice Address |
934 West Austin Drive Peoria IL 61614 |
| Practice Telephone | 3096930030 |
| Mailing Telephone | 3096930030 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 036047431 | IL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 036047431 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036047431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447542832 | Faiyaz M Ahmed | Internal Medicine | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2011-05-04 |
| Street Address |
934 WEST AUSTIN DRIVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867488 | Infinity Pain Relief, LLC | General Practice | 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 | 2020-07-05 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1912367582 | Perfectbalance Md Sc | General Practice | 7720 N Grand Prairie Dr, Peoria, IL 61615-9242 | 2016-02-25 |
| 1285012666 | Joshua James Johnson | General Practice | 9401 W Thunderbird Rd Ste 155, Peoria, AZ 85381-4238 | 2015-05-18 |
| 1295131712 | Integra Home Doctors, Inc. | General Practice | 16165 N 83rd Ave, Suite 200, Peoria, AZ 85382-5816 | 2014-11-11 |
| 1922449172 | Chinenye Chioma Anako | General Practice | 611 W Glen Ave Apt B, Peoria, IL 61614-4874 | 2013-07-16 |
| 1366049025 | Cactus Pain Relief, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2020-10-06 |
| 1477199701 | Cactus Pain Solutions, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2019-11-21 |
| 1710487905 | Cactus Medical Center LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2018-02-14 |
| 1861836991 | David Kindred Integerated Medicine PC | General Practice | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-04-19 |
| Find all providers in PEORIA | ||||
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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.