Ibrahim A Ali
MIDLAND MEDICAL GROUP LLC


Address: 1000 Georgesville Rd, Columbus, OH 43228-3304
Phone: 6144288100

Ibrahim A Ali (NPI# 1437596251, PAC ID# 1456651371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1437596251
PAC ID by PECOS 1456651371
Professional Enrollment ID I20160825002848
Full Name Ibrahim A Ali
Organization Legal Name MIDLAND MEDICAL GROUP LLC
Address 1000 Georgesville Rd
Columbus
OH 43228-3304
Phone Number 6144288100
Gender M
Graduation Year 2011
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3870841190
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360039 GENESIS HOSPITAL

Other Locations

Address Phone Organization
1000 Georgesville Rd, Columbus, OH 43228-3304 6144288100 MIDLAND MEDICAL GROUP LLC
23 N Maysville Ave, Zanesville, OH 43701-6110 7404544091 GENESIS MEDICAL GROUP, LLC
2800 Maple Ave, Suite 100p, Zanesville, OH 43701-1716 7404544585 GENESIS MEDICAL GROUP, LLC

Organization Information

Organization Legal Name MIDLAND MEDICAL GROUP LLC
Physicians 1

Office Location

Street Address 1000 GEORGESVILLE RD
City COLUMBUS
State OH
Zip 43228-3304

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Competitor

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City COLUMBUS
Zip Code 43228
Specialty FAMILY MEDICINE
City + Specialty COLUMBUS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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