DR. AHMAD B AL-HAMDA (NPI# 1851357586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851357586 |
| Entity Type | Individual |
| Full Name | DR. AHMAD B AL-HAMDA |
| Credential | MD |
| Practice Address |
7956 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
5100 Sanderlin Ave # 2100 Suite 2100 Memphis TN 38117 |
| Practice Telephone | 2604362416 |
| Practice Fax Number | 2604369662 |
| Mailing Telephone | 9018200141 |
| Mailing Fax Number | 9018200144 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
36558 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3874806 | 05 | |
| IN | 200941560 | 05 |
| Street Address |
7956 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308413 | Isa S. Canavati | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-06-30 |
| 1689283327 | Stephen Andrew Grote | Physician Assistant | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-29 |
| 1265041016 | Sara Mae Stout | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-28 |
| 1407481468 | Kathryn M. Mckible | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-03-10 |
| 1841824893 | Natasha L. Myers | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-02-28 |
| 1366901902 | Adrienne Michelle Evans | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-03-13 |
| 1952883084 | Kristin J. Abbs | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2018-09-05 |
| 1134655392 | Nirupama Esther Jerome | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-05-10 |
| 1609324342 | Melanie J. Heath | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2016-09-12 |
| 1164880605 | Jennifer Lynn Ritchie | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871668582 | Indiana Epilepsy and Child Neurology, Inc. | Psychiatry & Neurology | 4310 Lake Ave, Fort Wayne, IN 46815-7222 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104032614 | Jennifer Ann Zimmer | Psychiatry & Neurology | 575 West Dr, Xe 040, Indianapolis, IN 46202-5272 | 2007-05-14 |
| 1790802064 | Lisa M Mcguire | Psychiatry & Neurology | 8414 Naab Rd Ste 205, Indianapolis, IN 46260-1972 | 2007-03-23 |
| 1285716407 | Amy Suzon Chappell | Psychiatry & Neurology | 8111 Bayberry Ct, Indianapolis, IN 46250-1629 | 2006-10-19 |
| 1922190859 | Daksha C Vyas | Psychiatry & Neurology | 200 E. 89th Ave., Suite 3 - B, Merrillville, IN 46410-7319 | 2006-09-28 |
| 1497858518 | Robert Milford Shuman | Psychiatry & Neurology | 50688 Lilac Rd, South Bend, IN 46628-9387 | 2006-09-06 |
| 1902860059 | Elizabeth Hong Magno | Psychiatry & Neurology | 8315 Virginia St, Suite M, Merrillville, IN 46410-6238 | 2006-04-14 |
| 1265708333 | Lauren Bader James | Psychiatry & Neurology | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2012-03-22 |
| 1881824795 | Kelly Marie Kremer | Psychiatry & Neurology | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2009-07-27 |
| 1538327283 | Andrew Michael Miller | Psychiatry & Neurology | 13100 E 136th St, Ste 1200, Fishers, IN 46037-9418 | 2008-05-29 |
| 1295933349 | Kofi Dela Quist | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2007-07-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.