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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
57.016032 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0067078 | 05 |
Street Address |
10325 DEWHURST RD OHIO MEDICAL GROUP |
City | ELYRIA |
State | OH |
Zip Code | 44035-8403 |
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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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 |
Find all providers in zip 44035 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
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. |
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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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.