MOHAMAD ATA


Address: 1802 S. Mattis, Champaign, IL 61821
Phone: 2173833311

MOHAMAD ATA (NPI# 1457698169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457698169
Entity Type Individual
Full Name MOHAMAD ATA
Practice Address 1802 S. Mattis
Champaign
IL 61821
Mailing Address 611 W. Park St.
Fapc
Urbana
IL 61801
Practice Telephone 2173833311
Practice Fax Number 6306905282
Mailing Telephone 2179025291
Enumeration Date 2013-01-15
Last Update Date 2018-11-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041398787 IL Nursing Service Providers
Y 363L00000X Nurse Practitioner 209017185 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1802 S. MATTIS
City CHAMPAIGN
State IL
Zip Code 61821

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1609124338 Lolitia Rosanna Newman Social Worker 1508 Powers Ln., Champaign, IL 61821 2012-08-28
1679850887 Kirk Donald Gohsman Counselor 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 2011-11-16
1598054777 Delbert William Nelson Jr. Psychiatry & Neurology 2115 Galen Dr, Champaign, IL 61821 2011-03-28
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497312672 Haleigh D Wadsworth Nurse Practitioner 2718 N Prospect Ave, Champaign, IL 61822-1298 2019-05-23
1528621265 Tara Kutz Nurse Practitioner 2710 N Prospect Ave, Champaign, IL 61822-1298 2019-04-18
1457891806 Bobby Hill Jr. Nurse Practitioner 606 N Country Fair Dr Ste A, Champaign, IL 61821-2485 2017-03-05
1982143582 Ijeoma Anukwu Nurse Practitioner 5003 Chestnut Grove Dr, Champaign, IL 61822-3323 2017-02-15
1144237389 Theresa E. Hardy Nurse Practitioner 1112 W Daniel St, Champaign, IL 61821-4516 2006-08-01
1508464637 Tricia Hogg Nurse Practitioner 1701 Curtis Rd, Champaign, IL 61822-9678 2020-10-12
1114563640 Mary K Kiesewetter Nurse Practitioner 1802 S Mattis Ave, Champaign, IL 61821-5923 2019-11-19
1023653342 Maddison P. Draper Nurse Practitioner 2718 N Prospect Ave, Champaign, IL 61822-1298 2019-11-11
1932740305 Janice Frerichs Nurse Practitioner 1701 W. Curtis, Champaign, IL 61822 2019-10-07
1255895108 Brittany N Anderson Nurse Practitioner 2043 S Neil St, Champaign, IL 61820-7219 2019-01-24
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City CHAMPAIGN
Zip Code 61821

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Dataset Information

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.

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