Mohamed I Nisar (NPI# 1164499158, PAC ID# 2860650249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164499158 |
| PAC ID by PECOS | 2860650249 |
| Professional Enrollment ID | I20120215000510 |
| Full Name | Mohamed I Nisar |
| Organization Legal Name | FORTALEZA, LLC |
| Address |
41641 N Ridge Rd Suite B Elyria OH 44035-1264 |
| Phone Number | 4403247406 |
| Gender | M |
| Graduation Year | 1962 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769757335 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2301 Scranton Rd, Cleveland, OH 44113-4311 | 4403247406 | FORTALEZA, LLC |
| 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1264 | 4403247406 | FORTALEZA, LLC |
| Organization Legal Name | FORTALEZA, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahid H Butt | Obstetrics/gynecology | Fortaleza, LLC | 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1264 |
| Zia Ullah Khan | Family Medicine | Fortaleza, LLC | 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1264 |
| Street Address |
41641 N RIDGE RD SUITE B |
| City | ELYRIA |
| State | OH |
| Zip | 44035-1264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahid H Butt | Obstetrics/gynecology | Fortaleza, LLC | 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1264 |
| Zia Ullah Khan | Family Medicine | Fortaleza, LLC | 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Danielle Lencoski | Obstetrics/gynecology | Mercy Health Physicians Lorain LLC | 5054 Waterford Place Dr, Sheffield Village, OH 44035 |
| Roger Lee Friedman | Podiatry | 5321 Meadow Lane Ct, Sheffield Village, OH 44035-0600 | |
| Mary Ann Teitelbaum | Psychologist, Clinical | 5321 Meadow Lane Ct, Suite 5, Sheffield Village, OH 44035-0601 | |
| Kimberly Marie Nichelson | Podiatry | 5321 Meadow Lane Ct, Suite 22, Sheffield Village, OH 44035-0601 | |
| Philip R Copeland | Clinical Social Worker | 5321 Meadow Lane Ct, Suite 5, Sheffield Village, OH 44035-0601 | |
| Alok K Jain | Gastroenterology | Mercy Health Physicians Lorain LLC | 5077 Waterford Dr, Suite 305, Sheffield Village, OH 44035-0705 |
| Jason A Vanskyhock | Chiropractic | Universal Treatment and Recovery Center LLC | 42553 N Ridge Rd, Suite 8, Elyria, OH 44035-1046 |
| Gary A Vanskyhock | Chiropractic | Universal Treatment and Recovery Center LLC | 42553 N Ridge Rd, Suite 8, Elyria, OH 44035-1046 |
| Sarah Williams | Nurse Practitioner | 2106 N Ridge Rd, Elyria, OH 44035-1241 | |
| Brian C Studer | Chiropractic | 2106 N Ridge Rd, Elyria, OH 44035-1241 | |
| Find all physicians in zip 44035 | |||
| City | ELYRIA |
| Zip Code | 44035 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ELYRIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mohamed I Nisar.
| 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.