SYED MUSTAFA HASAN (NPI# 1891080883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891080883 |
| Entity Type | Individual |
| Full Name | SYED MUSTAFA HASAN |
| Other Name | DR. MUSTAFA HASAN |
| Credential | M.D. |
| Practice Address |
1100 Mercer Ave Decatur IN 46733-2303 |
| Mailing Address |
300 S Bruce St Avera Marshall Marshall MN 56258-1934 |
| Practice Telephone | 2607242145 |
| Practice Fax Number | 2607283852 |
| Mailing Telephone | 5075379300 |
| Mailing Fax Number | 5075379356 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01072973A | IN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 58354 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Mercer Ave, Decatur, IN 467332303 | 2607242145 | 2607283852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1972605418 | Syed Sajid Hasan | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2006-09-04 |
| 1265534465 | Syed Naved Hasan | Family Medicine | 908 Southmore Ave Ste 100, Pasadena Health Center, Pasadena, TX 77502-1120 | 2006-09-01 |
| 1790895035 | Syed S Hasan | Internal Medicine | 2120 Mariner Blvd, Spring Hill, FL 34609-3859 | 2006-08-30 |
| 1730115791 | Syed Hasan | Internal Medicine | 87 N Airlite, Suite100, Elgin, IL 60123 | 2006-06-23 |
| 1528010998 | Syed Amjad Hasan | Specialist | 44835 Date Ave, Lancaster, CA 93534-3102 | 2006-05-16 |
| 1700402898 | Syed N Hasan | Student in an Organized Health Care Education/Training Program | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2020-06-24 |
| 1235768748 | Syed Aarish Hasan | Student in an Organized Health Care Education/Training Program | 1431 Sw 1st Ave Ste 7, Ocala, FL 34471-6500 | 2020-04-06 |
| 1134772106 | Syed Abbas Hasan | Student in an Organized Health Care Education/Training Program | 1155 Mill St # 11, Reno, NV 89502-1576 | 2019-07-18 |
| 1255807574 | Syed Radwan Hasan | Optometrist | 11915 Atlantic Ave, Richmond Hill, NY 11418-3216 | 2018-10-15 |
| Street Address |
1100 MERCER AVE |
| City | DECATUR |
| State | IN |
| Zip Code | 46733-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989710 | Haven Dove | Nurse Anesthetist, Certified Registered | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2005-08-10 |
| 1699390179 | Tracey Ann Pruden | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2020-06-10 |
| 1649820366 | Katie Fralick | Physician Assistant | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2019-09-14 |
| 1720648686 | Tina Blowers | Nurse Practitioner | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2019-06-13 |
| 1730680372 | Joshua J Fullenkamp | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2018-02-27 |
| 1376043752 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733 | 2018-02-13 |
| 1013424035 | Valorie Clouse | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-12-29 |
| 1114430378 | Baldemar Silva | Social Worker | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-11-09 |
| 1932618956 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-09-21 |
| 1467970335 | Sarah A Kuehnert | Dietitian, Registered | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1184908386 | Logan D Anderson | Pharmacist | 123 N. 13th St, Decatur, IN 46733 | 2011-10-06 |
| 1992091797 | Leah D Keller | Social Worker | 815 High St Ste C, Decatur, IN 46733 | 2011-06-21 |
| 1144559493 | Preble Volunteer Firefighting Association, Inc. | Ambulance | 6242 N 400 W, Decatur, IN 46733 | 2009-12-16 |
| 1689703530 | Blake A Taylor | Dentist | 234 N First St, Decatur, IN 46733 | 2007-03-05 |
| 1124163563 | Decatur Dental Services,, Inc. | Dentist | Decatur, 6496 N Piqua Road, Decatur, IN 46733 | 2007-02-21 |
| 1215002597 | Kelly S Ulman | Dentist | 6496 N Piqua Rd, Decatur, IN 46733 | 2006-11-21 |
| 1841362712 | James E Taylor Dds and Associates Family Dentistry | Dentist | 234 N 1st St, Decatur, IN 46733 | 2006-11-15 |
| 1598844946 | Michael Alan Harshman | Optometrist | 815 South 13th St., Decatur, IN 46733 | 2006-11-06 |
| 1184908220 | Carla D Springer | Pharmacist | 123 N 13th St, Decatur, IN 46733 | 2011-10-07 |
| Find all providers in zip 46733 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1881089993 | Tony Bullon | Emergency Medicine | 1834 Clairmont Rd Ste 100, Decatur, GA 30033 | 2015-04-06 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1427347681 | Constance Shamuyarira Richards | Emergency Medicine | 307 Adair St, Unit F3, Decatur, GA 30030-2958 | 2011-03-28 |
| 1669618310 | Northern Alabama Physicians, LLP | Emergency Medicine | 1201 7th Street Southeast, Decatur, AL 35601-3303 | 2008-12-31 |
| 1215190772 | Stephanie Nicole Scott | Emergency Medicine | 225 Shadowmoor Dr, Decatur, GA 30030-3850 | 2008-07-05 |
| 1639239825 | Michael Anthony Herron | Emergency Medicine | 1501 Richard Stokes Dr, Decatur, GA 30033 | 2006-12-11 |
| 1053412908 | Richard Edward Wild | Emergency Medicine | 1275 Oak Grove Dr, Decatur, GA 30033-2737 | 2006-09-25 |
| 1730283201 | Jerry Edward Robbins II | Emergency Medicine | 2941 Point Mallard Pkwy Se Ste N, Decatur, AL 35603-5760 | 2006-09-12 |
| 1649297656 | Dahlia Hassani | Emergency Medicine | 1010 Scott Blvd, A8, Decatur, GA 30030-1312 | 2006-07-16 |
| Find all providers in DECATUR | ||||
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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.