NASSIR HASSAN MONIM MANSOUR


Address: 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968
Phone: 2175458000

NASSIR HASSAN MONIM MANSOUR (NPI# 1790923951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790923951
Entity Type Individual
Full Name NASSIR HASSAN MONIM MANSOUR
Other Name NASSIR MANSOUR
Credential MD
Practice Address 751 N Rutledge St Ste 3100
Springfield
IL 62702-4968
Mailing Address 1234 Napier Ave
Saint Joseph
MI 49085-2112
Practice Telephone 2175458000
Practice Fax Number 2175451622
Mailing Telephone 2699838172
Mailing Fax Number 2699854535
Enumeration Date 2009-01-27
Last Update Date 2020-10-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 4301104161 MI Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery MD450309 PA Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 285013-1 NY Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 036134334 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 036-134334 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
450 Clarkson Ave, Suny-downstate Medical Center, Department of Neurology, Brooklyn, NY 112032012 3123881522 7182703840

Office Location

Street Address 751 N RUTLEDGE ST STE 3100
City SPRINGFIELD
State IL
Zip Code 62702-4968

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154513687 Fazeel Mukhtar Siddiqui Psychiatry & Neurology 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2007-08-17
1578112363 Amanda Graham Nurse Practitioner 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2019-09-05
1912562109 Katie D Hartman Nurse Practitioner 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2019-05-03
1528440724 Jordan Leigh Sestak Internal Medicine 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2015-06-24
1174934269 Charlyn Fargo Ware Dietitian, Registered 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2014-05-12
1811322209 Nicole Lynn Atwood Nurse Practitioner 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2013-09-04
1184979551 Bilal Butt Psychiatry & Neurology 751 N Rutledge St Ste 3100, Springfield, IL 62702 2012-07-20
1043520869 Jacob M Monsivais Physician Assistant 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2010-10-14
1669784559 Hesham A Allam Psychiatry & Neurology 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2010-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
Find all providers in zip 62702

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871114371 Justin Michael Neurological Surgery 701 N 1st St Ste D-319, Springfield, IL 62702-3757 2020-05-06
1023678638 Matthew Weber Neurological Surgery 701 N 1st St, Suite D-319, Springfield, IL 61702 2019-06-17
1194080010 Scott B Raymond Neurological Surgery 2 Medical Center Dr Ste 503, Springfield, MA 01107-1273 2012-07-06
1396988051 Kevin J Mansfield Neurological Surgery 1229 E Seminole St Ste 220, Springfield, MO 65804 2009-04-10
1881853158 Mayur Jayarao Neurological Surgery 3801 S National Ave Ste 700, Springfield, MO 65807 2008-06-03
1164691358 Donald Hall Pearson Neurological Surgery 5116 Eagle Rdg, Springfield, IL 62711-7811 2008-02-21
1750301875 Jeffrey W. Cozzens Neurological Surgery 751 N Rutledge St Fl 3, Springfield, IL 62702-4968 2006-07-20
1972537132 Alan M. Scarrow Neurological Surgery 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 2006-07-11
1780628719 Andrew J Kokkino Neurological Surgery 3377 Riverbend Dr Fl 5, Springfield, OR 97477-8803 2006-06-16
1134613961 Nathan Nordmann Neurological Surgery 701 N 1st St, Springfield, IL 62702-3757 2018-06-15
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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