DR. MOHAMMED ATHER MIRZA (NPI# 1619904240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619904240 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMED ATHER MIRZA |
| Credential | MD |
| Practice Address |
290 E Main St Ste 200 Smithtown NY 11787-2916 |
| Practice Telephone | 6313615302 |
| Practice Fax Number | 6313618607 |
| Mailing Telephone | 6313615302 |
| Mailing Fax Number | 6313618607 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 117684 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
117684 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD | DR7510 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604356 | Mohammed Y Mirza | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-09-21 |
| 1942654033 | Mohammed Omer Mirza | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-04-15 |
| 1710067822 | Mohammed Azher Mirza | Psychiatry & Neurology | 4045 Ne Lakewood Way, Ste 130, Lees Summit, MO 64064-1995 | 2006-10-16 |
| Street Address |
290 E MAIN ST STE 200 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154632479 | Andrew Leo Md PC | Orthopaedic Surgery | 290 E Main St Ste 200, Smithtown, NY 11787-2916 | 2010-07-01 |
| 1568781268 | Phillip Tomas Guillen | Orthopaedic Surgery | 290 E Main St Ste 200, Smithtown, NY 11787-2916 | 2010-05-20 |
| 1063684744 | M Ather Mirza PC | Orthopaedic Surgery | 290 E Main St Ste 200, Smithtown, NY 11787-2916 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508252321 | Justin Mirza D.o. PC | Orthopaedic Surgery | 290 E Main St, Suite 200, Smithtown, NY 11787-2916 | 2015-04-08 |
| 1154632479 | Andrew Leo Md PC | Orthopaedic Surgery | 290 E Main St Ste 200, Smithtown, NY 11787-2916 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538909 | Michelle Gerwin Carlson, M.d., P.C. | Orthopaedic Surgery | 523 E 72nd St Rm 4-408, New York, NY 10021-4099 | 2020-05-01 |
| 1285289918 | David Cinats | Orthopaedic Surgery | 6620 Fly Rd Ste 100, East Syracuse, NY 13057-9791 | 2019-08-08 |
| 1184282139 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 788 Harrison Ave, Riverhead, NY 11901-2744 | 2019-06-04 |
| 1215426390 | Kristen Alexander | Orthopaedic Surgery | 525 E 71st St Ofc 2, New York, NY 10021-4839 | 2018-05-04 |
| 1013437078 | Ari Mayerfield, M.d.f.a.c.s, Pllc | Orthopaedic Surgery | 1978 Crompond Rd Ste 102, Cortlandt Manor, NY 10567-4114 | 2017-06-21 |
| 1255787743 | Highline Orthopaedics | Orthopaedic Surgery | 16 Park Place, New York, NY 10007 | 2016-05-13 |
| 1639587504 | New York Hand Surgery P.C. | Orthopaedic Surgery | 330 9th St Apt 1, Brooklyn, NY 11215-4026 | 2014-07-23 |
| 1821387085 | Steven Michael Koehler | Orthopaedic Surgery | 450 Clarkson Ave # Msc30, Brooklyn, NY 11203-2012 | 2011-03-28 |
| 1295969046 | Andrew Joseph Leo | Orthopaedic Surgery | 517 Route 111, 3rd Fl Ste 3b, Hauppauge, NY 11788 | 2009-05-08 |
| 1063615763 | Farouq Al-khalidi | Orthopaedic Surgery | 4500 Vestal Rd, Vestal, NY 13850-3535 | 2007-06-08 |
| 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.