AHMED 15 LLC (NPI# 1770042111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770042111 |
| Entity Type | Organization |
| Organization Name | AHMED 15 LLC |
| Practice Address |
311 W Lincoln St Belleville IL 62220-1902 |
| Mailing Address |
5023 N Illinois St Fairview Heights IL 62208-3453 |
| Practice Telephone | 6182390678 |
| Practice Fax Number | 6182350471 |
| Mailing Telephone | 6182390678 |
| Mailing Fax Number | 6182350471 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-05-23 |
| NPI Deactivation Date | 05/20/2019 |
| NPI Reactivation Date | 2019-05-23 |
| Authorized Official Name | SHAKEEL AHMED (OWNER) |
| Authorized Official Telephone | 6182390678 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physicians Surgical Center | Doing Business As Name - Organization |
| Street Address |
311 W LINCOLN ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376530949 | John J Boeren | General Practice | 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 | 2005-09-29 |
| 1467803049 | Mallory Ann Butler | Nurse Practitioner | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2016-06-24 |
| 1275933756 | Belleville Surgical Center Ltd | Clinic/Center | 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 | 2014-09-03 |
| 1356760946 | Metro East Anesthesia LLC | Nurse Anesthetist, Certified Registered | 311 W Lincoln St, Ste 101, Belleville, IL 62220-1902 | 2014-04-10 |
| 1700218146 | Belleville Endoscopy Anesthesia | Anesthesiology | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2013-08-08 |
| 1851735450 | Mark S. Feldman, M.d. P.C. | Specialist | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2013-04-25 |
| 1497026686 | Belleville Endoscopy | Specialist | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2012-01-19 |
| 1770893919 | Robert Hellman Md. LLC | Anesthesiology | 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 | 2010-10-20 |
| 1215198973 | Cheryl L Kulik | Nurse Anesthetist, Certified Registered | 311 W Lincoln St, Ste 101, Belleville, IL 62220-1902 | 2008-06-24 |
| 1821210287 | Walter R. Glauber | Registered Nurse | 311 W Lincoln St, Ste 201, Belleville, IL 62263-1902 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871744235 | Physicians' Surgical Center LLC | Clinic/Center | 311 W Lincoln St Ste 300, Belleville, IL 62220-1902 | 2008-10-03 |
| 1174601223 | Bel Clair Ambulatory Surgical Treatment Center, Ltd. | Clinic/Center | 325 W Lincoln St, Belleville, IL 62220-1921 | 2006-11-02 |
| 1295848752 | Essex Surgical Arts Surgery Center, LLC | Clinic/Center | 727 Joralemon St, Belleville, NJ 07109-1455 | 2006-08-17 |
| 1275599086 | Belleville Surgical Center Ltd | Clinic/Center | 28 N 64th St, Belleville, IL 62223-3808 | 2006-04-21 |
| 1275933756 | Belleville Surgical Center Ltd | Clinic/Center | 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 | 2014-09-03 |
| 1710913439 | Eichler Surgeye Center | Clinic/Center | 50 Newark Ave, Belleville, NJ 07109-1185 | 2006-06-24 |
| 1972548626 | Physicians Surgical Center, LLC | Clinic/Center | 311 W Lincoln St, Ste. 300, Belleville, IL 62220-1902 | 2006-06-17 |
| 1902849227 | Eye Surgery Center, LLC | Clinic/Center | 3990 N Illinois St, Belleville, IL 62226 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on AHMED 15 LLC.
| 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.