RAZA AHMAD (NPI# 1558631713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558631713 |
| Entity Type | Individual |
| Full Name | RAZA AHMAD |
| Credential | MD |
| Practice Address |
800 Walnut St 17th Floor Philadelphia PA 19107-5109 |
| Practice Telephone | 2158293523 |
| Mailing Telephone | 2158293523 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2013-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD450593 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
MD450593 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790312262 | Raza Mahmood Ahmad | Surgery | 1000 Blythe Blvd Ste 601, Charlotte, NC 28203-5812 | 2020-03-25 |
| Street Address |
800 WALNUT ST 17TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369686 | Robert S Rudenstein | Internal Medicine | 800 Walnut St, 16th Floor, Philadelphia, PA 19107-5176 | 2005-07-12 |
| 1538788377 | Linda Gallagher | Dietitian, Registered | 800 Walnut St, Philadelphia, PA 19107-5176 | 2020-04-12 |
| 1215563937 | Kristin Hecker | Nurse Practitioner | 800 Walnut St, Philadelphia, PA 19107-5176 | 2020-03-13 |
| 1457997991 | Stephanie Ann Masluk | Nurse Practitioner | 800 Walnut St, Philadelphia, PA 19107-5176 | 2019-11-19 |
| 1578004693 | Kristen J Borzomati | Nurse Practitioner | 800 Walnut St, 20th Floor, Philadelphia, PA 19107-5176 | 2017-03-09 |
| 1699127936 | Catherine Tierney | Clinical Nurse Specialist | 800 Walnut St, 19th Fl, Philadelphia, PA 19107-5109 | 2016-07-11 |
| 1265802953 | Kalia C. Cole-avery | Nurse Practitioner | 800 Walnut St, 14th Floor, Philadelphia, PA 19107-5176 | 2015-10-07 |
| 1356748024 | Stephanie Williams | Physician Assistant | 800 Walnut St, Fl 20, Philadelphia, PA 19107-5176 | 2014-11-24 |
| 1114320314 | Elizabeth Grodanz | Nurse Practitioner | 800 Walnut St, 20th Floor, Philadelphia, PA 19107-5176 | 2014-10-01 |
| 1003247719 | Katherine Schmidt | Nurse Practitioner | 800 Walnut St, 11th Floor, Philadelphia, PA 19107-5176 | 2013-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1174551642 | Brian Jeffrey Sennett | Internal Medicine | 235 S 33rd St, Weightman Hall, 1st Floor, Philadelphia, PA 19104-6322 | 2006-06-30 |
| 1285022202 | University of Penn-medical Group | Internal Medicine | 3737 Market St, 9th Floor, Philadelphia, PA 19104-5545 | 2014-12-29 |
| 1679873970 | Maenpaa Sports Medicine LLC | Internal Medicine | 829 Spruce St, Suite308, Philadelphia, PA 19107-5752 | 2010-11-02 |
| 1225278963 | Tara Lyn Cuda, D.o., P.C. | Internal Medicine | 2230 S Broad St, Philadelphia, PA 19145-3950 | 2009-02-20 |
| 1306987318 | David M. Josephson | Internal Medicine | 3535 Market St, Suite 100, Philadelphia, PA 19104-3309 | 2007-02-11 |
| 1881754463 | Neil P Sheth | Internal Medicine | 800 Spruce St, 1 Cathcart, Philadelphia, PA 19107-6130 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043674971 | Justin Luhovey | Internal Medicine | 2027 Lebanon Church Rd, West Mifflin, PA 15122-2461 | 2016-04-06 |
| 1821473570 | Drmc - Penn Highlands Internal Med Clearfield 93390 | Internal Medicine | 531c Hannah St, Clearfield, PA 16830-1209 | 2015-07-23 |
| 1073956397 | Ravi Kiran Ved | Internal Medicine | 1307 Federal St Ste 2, Pittsburgh, PA 15212-4769 | 2013-04-17 |
| 1891036166 | Tower Health Medical Group | Internal Medicine | 1350 Broadcasting Rd Ste 201, Wyomissing, PA 19610-3229 | 2013-03-11 |
| 1417219361 | Orthopaedic Surgery and Sports Medicine Group, PC | Internal Medicine | 254 Lancaster Ave, Malvern, PA 19355-3087 | 2012-06-15 |
| 1184944167 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Internal Medicine | 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 | 2010-06-02 |
| 1992974679 | Edward Anthony Gusick IIi | Internal Medicine | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2008-02-26 |
| 1649448218 | Megan Marie Groh Miller | Internal Medicine | 9104 Babcock Blvd., Suite 2120, Pittsburgh, PA 15237 | 2008-02-15 |
| 1811186133 | Matthew Ross Flanagan | Internal Medicine | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2007-10-23 |
| 1730129792 | Joseph M Stellabotte | Internal Medicine | 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 | 2006-06-07 |
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| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.