MUHAMMAD ANIS MEMON (NPI# 1780691923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780691923 |
| Entity Type | Individual |
| Full Name | MUHAMMAD ANIS MEMON |
| Credential | M.D. |
| Practice Address |
2800 E Broad St Suite 204 Mansfield TX 76063-6409 |
| Practice Telephone | 8174775500 |
| Practice Fax Number | 8174535503 |
| Mailing Telephone | 8174775500 |
| Mailing Fax Number | 8174535503 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | M1931 | TX | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
154192 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0001NA | 01 |
| TX | AETNA | 5915477 | 01 |
| TX | 180095501 | 05 | |
| TX | MEDICARE RR | P00262265 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861995870 | Muhammad Altaf Memon | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2018-03-15 |
| 1144547134 | Muhammad Zeeshan Memon | Psychiatry & Neurology | 1611 Nw 12th Ave, Miami, FL 33136 | 2010-04-29 |
| 1467571497 | Muhammad Ali Memon | Internal Medicine | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2007-03-29 |
| 1689744120 | Muhammad J Memon | Internal Medicine | 555 W Compton Blvd Ste 104, Compton, CA 90220-3099 | 2006-11-09 |
| Street Address |
2800 E BROAD ST SUITE 204 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942287388 | John Tiu | Internal Medicine | 2800 E Broad St, Suite 514, Mansfield, TX 76063-6417 | 2005-12-28 |
| 1740736099 | Kyla Crispe | Physician Assistant | 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 | 2016-08-28 |
| 1902264732 | Paige Herlihy | Physician Assistant | 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 | 2016-02-08 |
| 1215392840 | Center for Scoliosis and Advanced Spine Surgery | Orthopaedic Surgery | 2800 E Broad St, 512, Mansfield, TX 76063-6409 | 2015-12-26 |
| 1669857595 | Uyen Ngoc Bao Phan | Physician Assistant | 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 | 2015-07-21 |
| 1982945127 | Hospitalist Partners of Excellence In Mansfield (h.o.p.e), P.a. | Clinic/Center | 2800 E Broad St, Suite 308, Mansfield, TX 76063-6412 | 2013-03-13 |
| 1902160708 | Helen Kaporis | Dermatology | 2800 E Broad St, Ste 124, Mansfield, TX 76063-6409 | 2012-06-27 |
| 1164793246 | Amy Renee Lewis | Nurse Practitioner | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2012-01-20 |
| 1144541202 | Magdala Poon | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2010-06-11 |
| 1598913253 | Mansfield Dermatology, Pllc | Dermatology | 2800 E Broad St, Suite 408, Mansfield, TX 76063-6414 | 2008-09-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477745537 | Moustafa A Youssef | Internal Medicine | 309 Regency Pkwy Ste 201, Mansfield, TX 76063-5165 | 2007-08-13 |
| 1427141746 | Suwebatu T Odunsi-shiyanbade | Internal Medicine | 920 Hwy 287 N, Ste 308, Mansfield, TX 76063 | 2006-09-30 |
| 1659355261 | Palani K Raman | Internal Medicine | 408 Glessner Avenue, Mansfield, OH 44903 | 2005-12-06 |
| 1114355385 | Summit Gastroenterology Pllc | Internal Medicine | 309 Regency Pkwy Ste 101, Mansfield, TX 76063-5165 | 2013-10-24 |
| 1689017105 | Gregory Brennan | Internal Medicine | 920 Highway 287 N Ste 308, Mansfield, TX 76063-2632 | 2013-04-15 |
| 1396065645 | Imad Irshad Ahmad | Internal Medicine | 309 Regency Pkwy Ste 201, Mansfield, TX 76063-5165 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716014 | Kingwood Gastroenterology Pllc | Internal Medicine | 210 W Park Ste 100, Livingston, TX 77351-8337 | 2020-10-03 |
| 1003432543 | Dc Gastro Konsult | Internal Medicine | 11620 Pellicano Dr Ste B, El Paso, TX 79936-6250 | 2020-06-21 |
| 1851946917 | Sunbal Zafar Pllc | Internal Medicine | 3125 Matlock Rd Ste 108, Arlington, TX 76015-2905 | 2019-08-06 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1205393279 | Fatema S Uddin Md, Pllc | Internal Medicine | 601 Omega Dr Ste 201, Arlington, TX 76014-2075 | 2019-02-26 |
| 1952875932 | Aimee Lin Simington | Internal Medicine | 609 Medical Center Dr Ste 2600, Decatur, TX 76234-3846 | 2019-01-14 |
| 1265903652 | Michael S Brown | Internal Medicine | 5323 Harry Hines Blvd Rm L5.238, Dallas, TX 75390-9046 | 2018-12-10 |
| 1174098883 | Texas Digestive Care, Pllc | Internal Medicine | 2900 N I 35 Ste 210, Denton, TX 76201-5145 | 2018-10-09 |
| 1194208892 | El Paso Center for Pediatric Gastroenterology Pa | Internal Medicine | 2311 N Mesa St Ste C, El Paso, TX 79902-3575 | 2018-09-10 |
| 1821594052 | Tanmayi Gaikwad | Internal Medicine | 16651 Southwest Fwy Ste 370, Sugar Land, TX 77479-2348 | 2018-04-05 |
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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.