DR. MOHAMED IBRAHIM (NPI# 1659745529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659745529 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED IBRAHIM |
| Credential | BDS, MS, PHD, DMD |
| Practice Address |
1250 W Wisconsin Ave Milwaukee WI 53233-2225 |
| Mailing Address |
18320 Taywood Cir Apt 202 Brookfield WI 53045-5681 |
| Practice Telephone | 4142883455 |
| Mailing Telephone | 3195122837 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
18061-875 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486560 | Mohamed Magdy Ibrahim | Student in an Organized Health Care Education/Training Program | 462 Grider St Rm C-100b, Buffalo, NY 14215-3098 | 2019-03-15 |
| 1659888717 | Mohamed Ibrahim | Dentist | 18010 Jefferson Davis Highway, Ruther Glen, VA 22546 | 2018-01-10 |
| 1245404532 | Mohamed Abdelrahim Yousif Ibrahim | Obstetrics & Gynecology | 110 Medical Cir, Suite A, Rockingham, NC 28379-5220 | 2008-04-17 |
| 1639155807 | Mohamed Attia Ibrahim | Physical Therapist | 1925 E 95th St, Chicago, IL 60617-4710 | 2005-12-20 |
| 1972115962 | Mohamed A Ibrahim | Community Health Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-08-20 |
| 1376167668 | Mohamed Ibrahim | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-02 |
| 1881253946 | Mohamed Dahir Ibrahim | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431-2320 | 2019-06-11 |
| 1750835286 | Mohamed Moustafa Ibrahim | Physical Therapist | 8415 4th Ave, Brooklyn, NY 11209-4654 | 2016-08-13 |
| 1447675574 | Mohamed I Ibrahim | Pharmacist | 4901 N 4th Ave, Sioux Falls, SD 57104-0444 | 2014-02-26 |
| 1164861043 | Mohamed Ibrahim | Internal Medicine | 2901 W Kinnickinnic River Pkwy, Suite 315, Milwaukee, WI 53215-3677 | 2013-06-24 |
| Street Address |
1250 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790858462 | Shanyn Colleen Lancaster | Family Medicine | 1250 W Wisconsin Ave, Student Health, Schroeder Complex, Lower Level, Milwaukee, WI 53233-2225 | 2006-11-17 |
| 1548887912 | Jeremy Schmidt | Student in an Organized Health Care Education/Training Program | 1250 W Wisconsin Ave, Milwaukee, WI 53233-2225 | 2020-07-01 |
| 1568021202 | Erin Alagna | Specialist/Technologist | 1250 W Wisconsin Ave, Milwaukee, WI 53233-2225 | 2019-06-06 |
| 1023385937 | Timothy Frederic Boerger | Specialist/Technologist | 1250 W Wisconsin Ave, Milwaukee, WI 53233-2225 | 2011-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1770899486 | Richard Francis Urbanczyk | Dentist | 10401 W Lincoln Ave, Milwaukee, WI 53227-1255 | 2010-08-19 |
| 1184879108 | David W Belardi | Dentist | 10401 W Lincoln Ave, Ste. 104, Milwaukee, WI 53227-1255 | 2008-11-18 |
| 1386807055 | James Kevin Bahcall | Dentist | 1801 West Wisconsin Ave, Milwaukee, WI 53233 | 2008-07-03 |
| 1972773588 | Advanced Dental Specialists, LLC | Dentist | 9052 N Deerbrook Trl, Milwaukee, WI 53223-2474 | 2008-03-11 |
| 1013937499 | Marquette University | Dentist | 1801 W Wisconsin Ave, Suite 145 B, Milwaukee, WI 53233-2186 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1891319273 | Janesville Endodontics | Dentist | 1616 N Randall Ave Ste 180, Janesville, WI 53545-1155 | 2020-06-02 |
| 1215344478 | Helen Tsao | Dentist | 2606 Stewart Ave, Ste 102, Wausau, WI 54401-5502 | 2014-07-18 |
| 1275973166 | Meridian Endodontics and Periodontics | Dentist | 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 | 2013-06-25 |
| 1447698451 | Eva C Dahl | Dentist | 2700 National Dr Ste 1, Onalaska, WI 54650-6708 | 2013-06-12 |
| 1275873374 | F Kris Olsen | Dentist | 1320 S Green Bay Road, Racine Dental Group, Racine, WI 53406 | 2013-02-26 |
| 1063710655 | Erik Daniel Deyoung | Dentist | 6100 W State St, Apt. 636, Wauwatosa, WI 53213-2983 | 2011-03-05 |
| 1376786285 | Ronald David Meyers | Dentist | 2600 N Mayfair Rd Ste 240, Wauwatosa, WI 53226-1309 | 2009-04-08 |
| 1942450457 | Wisconsin Endodontic Group, S.c. | Dentist | 2600 N. Mayfair Rd., Ste 240, Wauwatosa, WI 53226 | 2008-09-22 |
| 1558519058 | Kendra Kay Boda | Dentist | 3004 Golf Rd Ste 102, Eau Claire, WI 54701-8794 | 2008-09-09 |
| 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.