MR. MOHAMMAD I MOHIUDDIN I (NPI# 1619223716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619223716 |
| Entity Type | Individual |
| Full Name | MR. MOHAMMAD I MOHIUDDIN I |
| Credential | RSA,CSA |
| Practice Address |
208 Westmore Meyers Rd Lombard IL 60148-3041 |
| Practice Telephone | 6309352118 |
| Mailing Telephone | 6309352118 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
238.000180 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
238.000180 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
208 WESTMORE MEYERS RD |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072288 | Jaime Viramontes Jr. | Specialist/Technologist, Other | 2725 Technology Dr, Lombard, IL 60148-5675 | 2020-08-06 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1770940124 | Nodirjon M Farzinov | Specialist/Technologist, Other | 1037 S Westmore Ave Apt 206, Lombard, IL 60148 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545660 | Ghirri Health Care Inc | Specialist/Technologist, Other | 9101 Falcon Ridge Dr, Bridgeview, IL 60455-2608 | 2020-07-21 |
| 1649896606 | Eric Dupaya | Specialist/Technologist, Other | 6432 S Eberhart Ave, Chicago, IL 60637-3325 | 2020-06-24 |
| 1508482027 | Juan Carlos Diaz | Specialist/Technologist, Other | 1433 W Flournoy St Apt 3f, Chicago, IL 60607-3213 | 2020-06-20 |
| 1528682275 | Alan George | Specialist/Technologist, Other | 606 N Van Auken St, Elmhurst, IL 60126-1947 | 2020-05-28 |
| 1881215416 | Brianne O'leary | Specialist/Technologist, Other | 2413 Sunrise Cir, Aurora, IL 60503-6757 | 2020-05-05 |
| 1669006433 | Michael Howard Keller | Specialist/Technologist, Other | 414 Chapel St, Marengo, IL 60152-3016 | 2020-03-02 |
| 1205487543 | Muneif Abusaleh | Specialist/Technologist, Other | 10536 Forest Ln, Chicago Ridge, IL 60415-1820 | 2019-09-27 |
| 1831752773 | Bienvenido Camacho | Specialist/Technologist, Other | 7900 W Deerwood Dr, Palos Park, IL 60464-2155 | 2019-04-16 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1699258616 | Teresa Dudic | Specialist/Technologist, Other | 2622 N 77th Ct, Elmwood Park, IL 60707-1801 | 2018-09-14 |
| Find all providers with the same taxonomy | ||||
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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.