DR. MOHAMMED KHORSHED ALAM MAZUMDER (NPI# 1891935250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891935250 |
Entity Type | Individual |
Full Name | DR. MOHAMMED KHORSHED ALAM MAZUMDER |
Credential | MD |
Practice Address |
1320 West Main St Newark OH 43055 |
Practice Telephone | 7403484137 |
Practice Fax Number | 7403484119 |
Mailing Telephone | 7403484137 |
Mailing Fax Number | 7403484119 |
Enumeration Date | 2009-02-25 |
Last Update Date | 2014-08-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
250908 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043445927 | Mohammed Akhlack Hossain Mazumder | Family Medicine | 92 Pickett Ln, Prestonsburg, KY 41653-8569 | 2009-05-21 |
Street Address |
1320 WEST MAIN ST |
City | NEWARK |
State | OH |
Zip Code | 43055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013269141 | Kathy Williams | Nurse Anesthetist, Certified Registered | 1320 West Main St, Newark, OH 43055 | 2012-10-13 |
1598067209 | Dustin E Alspach | Nurse Anesthetist, Certified Registered | 1320 West Main St, Newark, OH 43055 | 2010-12-01 |
1245550904 | Rachel Marie Terlecky | Emergency Medicine | 1320 West Main St, Newark, OH 43055 | 2010-06-04 |
1790946861 | D'anna Nicole Mullins | Internal Medicine | 1320 West Main St, Newark, OH 43055 | 2008-06-21 |
1881881480 | James David Leonard IIi | Emergency Medicine | 1320 West Main St, Newark, OH 43055 | 2007-09-27 |
1083816953 | Emilia N. Anigbo | Internal Medicine | 1320 West Main St, Newark, OH 43055 | 2007-06-04 |
1811106289 | Maria M Defante | Anesthesiology | 1320 West Main St, Newark, OH 43055 | 2007-05-22 |
1710108865 | Bradley R Lewis | Anesthesiology | 1320 West Main St, Newark, OH 43055 | 2007-05-02 |
1861618357 | Laura Ann Higgins | Emergency Medicine | 1320 West Main St, Newark, OH 43055 | 2007-04-17 |
1942392006 | James E. Smith | Registered Nurse | 1320 West Main St, Newark, OH 43055 | 2006-09-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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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 |
---|---|---|---|---|
1720553001 | University of Penn - Medical Group | Internal Medicine | 4923 Stanton Ogletown Rd, Newark, DE 19713-2081 | 2018-10-12 |
1912347030 | Amol R Shah | Internal Medicine | 1060 Broad St Ste 2a, Newark, NJ 07102-2321 | 2013-07-03 |
1457790024 | Zaid Tafesh | Internal Medicine | 90 Bergen St Ste 2100, Newark, NJ 07103-2425 | 2013-06-17 |
1841451580 | Michael H Bass | Internal Medicine | 2600 Glasgow Ave Ste 106, Newark, DE 19702-5703 | 2008-06-24 |
1285892463 | Siddharth Verma | Internal Medicine | 185 S Orange Ave # Msbh538, Newark, NJ 07103-2757 | 2008-05-25 |
1689888281 | Gary B Sinensky Md Pa | Internal Medicine | 24-28 Merchant St, Newark, NJ 07105-2847 | 2007-05-10 |
1841349685 | Susan K Jonas Md | Internal Medicine | J 30 Omega Dr, Omega Professional Center, Newark, DE 19713 | 2007-01-10 |
1881605749 | Mohamed S Alsalahi | Internal Medicine | 1304 Driving Park Ave, Newark, NY 14513-1059 | 2006-08-10 |
1063428878 | Domenica Maria Barritta | Internal Medicine | 18 Oliver St, Newark, NJ 07102-3410 | 2006-08-01 |
1518973742 | Firpo Eugenio Guerrero | Internal Medicine | 275 Chestnut St, Newark, NJ 07105-1570 | 2006-07-31 |
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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.