DR. MUSHTAQ MAHMOOD


Address: 10325 Dewhurst Rd, Ohio Medical Group, Elyria, OH 44035-8403
Phone: 4404149260

DR. MUSHTAQ MAHMOOD (NPI# 1497733075) 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) 1497733075
Entity Type Individual
Full Name DR. MUSHTAQ MAHMOOD
Other Name DR. MUSHTAQ MAHMOOD
Credential MD.
Practice Address 10325 Dewhurst Rd
Ohio Medical Group
Elyria
OH 44035-8403
Mailing Address 10325 Dewhurst Rd
Elyria
OH 44035-8403
Practice Telephone 4404149260
Practice Fax Number 2162015581
Mailing Telephone 4404149260
Mailing Fax Number 2162015581
Enumeration Date 2006-01-04
Last Update Date 2020-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
57.016032 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0067078 05

Office Location

Street Address 10325 DEWHURST RD
OHIO MEDICAL GROUP
City ELYRIA
State OH
Zip Code 44035-8403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003802141 Timothy Plank Family Medicine 10325 Dewhurst Rd, Elyria, OH 44035 2005-09-23
1841715737 Carrie Louise Ortiz Nurse Practitioner 10325 Dewhurst Rd, Elyria, OH 44035-8403 2017-08-11
1043614704 William J Scott Dpm Inc Podiatrist 10325 Dewhurst Rd, Elyria, OH 44035-8403 2014-10-09
1356776975 Jeanine R Willis Nurse Practitioner 10325 Dewhurst Rd, Elyria, OH 44035-8403 2013-09-13
1669695516 William J Scott Podiatrist 10325 Dewhurst Rd, Elyria, OH 44035-8403 2007-04-10
1831138601 Matthew S Schaeffer Family Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-06-06
1356315949 Diane Huey Internal Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-02-13
1154391647 Kamaleswary Ravichandran Internal Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-01-25
1831169333 Deborah Anne Vicario Family Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-01-25
1639149131 Abdelkarim Waness Internal Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013514546 Monica Sue Lane Homemaker 244 13th St, Elyria, OH 44035 2020-10-07
1457958993 Joaquin Deandre Page Homemaker 116 Parkview Ct, Elyria, OH 44035 2020-10-07
1740887751 Kelley Jean Duga Home Health Aide 46058 Russia Rd, Elyria, OH 44035 2020-10-02
1407477946 Ashley Langer Nurse Practitioner 660 E Broad St, Elyria, OH 44035 2020-05-06
1518593730 Scott Michael Hartman Nurse Practitioner 630 East River Streer, Elyria, OH 44035 2020-03-19
1609415793 Melanie Scott Registered Nurse 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 2020-01-06
1922647478 Hyatt Family Dental, LLC Dentist 301 East Avenue, Elyria, OH 44035 2020-01-02
1255988051 Ashlee Marie Reale Student in an Organized Health Care Education/Training Program 347 Middle Blvd #210, Elyria, OH 44035 2019-08-26
1821656380 Amber Mahone Case Manager/Care Coordinator 342 Midway Blvd Ste 210, Elyria, OH 44035 2019-05-30
1548788151 Robin Lee Newhart Physical Therapist 1885 Lake Avenue, Elyria, OH 44035 2017-09-03
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629253323 Virgie U Que Internal Medicine 1790 N Lakewood Ave, Port Clinton, OH 43452-2971 2008-01-01
1134328537 William Hanna Internal Medicine 4326 Baintree Rd, Cleveland, OH 44118-3931 2007-07-16
1801919816 Agarwal & Agarwal Mds Inc Internal Medicine 7405 Brandt Pk, Huber Heights, OH 45424-3239 2007-04-06
1740217009 Anthony J Finizia Internal Medicine 5208 Memphis Ave, Metrohealth Brooklyn Medical Group, Cleveland, OH 44144-2231 2006-06-26
1063476497 Cynthia H Ledford Internal Medicine 1609 Northwest Blvd, Columbus, OH 43212-2544 2006-04-13
1770570764 Nirmala Nandigam Internal Medicine 4901 Turney Rd, Garfield Hts, OH 44125-2546 2005-10-04
1326049081 Betsy L Kendis Internal Medicine 4575 Stephens Cir Nw, Canton, OH 44718-3629 2005-08-03
1134127954 Rajendra A Patel Internal Medicine 382 N Detroit St, Xenia, OH 45385-2233 2005-07-14
1619974037 John C Westerbeck Internal Medicine 2037 Wales Rd Nw, Suite 130, Massillon, OH 44646 2005-06-30
1033300215 Praveena Cheruvu Internal Medicine 1111 Sweitzer St, Suite C, Greenville, OH 45331 2007-08-05
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Competitor

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City ELYRIA
Zip Code 44035

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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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