DR. AHMED TARIG AHMED (NPI# 1669705471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669705471 |
| Entity Type | Individual |
| Full Name | DR. AHMED TARIG AHMED |
| Credential | MD |
| Practice Address |
9555 76th St # 1200 Pleasant Prairie WI 53158-1984 |
| Mailing Address |
9555 76th St Pleasant Prairie WI 53158-1984 |
| Practice Telephone | 2626717300 |
| Practice Fax Number | 2626717315 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD156676 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
70706-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4048606 | IL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1669705471 | 05 | |
| IL | ILLINOIS LICENSE | 4048606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025233 | Ahmed Ahmed | Physical Therapist | 21 Union Hill Dr Ste D2, Spencerport, NY 14559-1965 | 2016-10-31 |
| 1003231069 | Ahmed Ahmed | Chiropractor | 3756 Rainier Ave S, Suite D, Seattle, WA 98144-6989 | 2014-02-27 |
| 1003431719 | Ahmed Ahmed | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-06-09 |
| 1003443680 | Ahmed Abdeltwab Abdou Ahmed | Ophthalmology | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-03-24 |
| 1871079327 | Ahmed Ahmed | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Houston, TX 77030-1501 | 2018-07-18 |
| 1093219099 | Ahmed Ahmed | Student in an Organized Health Care Education/Training Program | 150 Bergen St # B239, Newark, NJ 07103-2496 | 2018-03-23 |
| 1336660125 | Ahmed Samim Ahmed | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 410, Norfolk, VA 23507-1914 | 2017-06-30 |
| 1033667910 | Ahmed Ahmed | Pharmacist | 2395 Kennedy Blvd, Jersey City, NJ 07304-1909 | 2016-09-20 |
| 1609112457 | Ahmed Farghal Ahmed | Chiropractor | 300 E Pulaski Hwy, Elkton, MD 21921-6435 | 2012-12-26 |
| 1366770554 | Ahmed Ibrahim Ahmed | Obstetrics & Gynecology | 601 Elmwood Ave, Rochester, NY 14642-2916 | 2009-11-26 |
| Street Address |
9555 76TH ST # 1200 |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471679 | Hazel Acacio | Nurse Practitioner | 9555 76th St # 1200, Pleasant Prairie, WI 53158-1984 | 2019-11-08 |
| 1083195580 | Kathryn A Mahoney | Physician Assistant | 9555 76th St # 1200, Pleasant Prairie, WI 53158-1984 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598969644 | David A. Knight | Internal Medicine | 9555 76th St Ste 1200, Pleasant Prairie, WI 53158-1984 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716358 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2017-01-19 |
| 1629416409 | Christopher Robert D'angelo | Internal Medicine | 958 Basswood Ave, Verona, WI 53593-8220 | 2013-06-13 |
| 1811250426 | Michael Bade Wheeler | Internal Medicine | 28391 Essential Road, Merton, WI 53056-0012 | 2012-06-19 |
| 1366732752 | Ezzideen Barjes Alrawi | Internal Medicine | 111 Ann St, Waukesha, WI 53188-2263 | 2011-04-19 |
| 1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
| 1528276417 | Kelly Jo Cooke | Internal Medicine | 721 American Ave Ste 508, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5071 | 2007-05-21 |
| 1205044773 | Derek Steven Serna | Internal Medicine | 1683 Whistling Hill Cir, Hartland, WI 53029 | 2007-05-18 |
| 1770706624 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | N3063 Cty Qq, Waupaca, WI 54981-9796 | 2007-04-10 |
| 1003039959 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1370 N Shawano St E, New London, WI 54961-2155 | 2007-04-10 |
| 1356486591 | Galen R Hasler | Internal Medicine | 350 S Hamilton St, 203, Madison, WI 53703-3861 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
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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.