Ahmed M Ibn-mahfoudh (NPI# 1457320970, PAC ID# 8820019946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1457320970 |
| PAC ID by PECOS | 8820019946 |
| Professional Enrollment ID | I20180227001275 |
| Full Name | Ahmed M Ibn-mahfoudh |
| Organization Legal Name | APOGEE MEDICAL GROUP ILLINOIS P C |
| Address |
1600 W Walnut St Jacksonville IL 62650-1136 |
| Phone Number | 2172459541 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5890754907 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521327 | WAUPUN MEMORIAL HOSPITAL |
| 140058 | PASSAVANT AREA HOSPITAL |
| 141322 | ABRAHAM LINCOLN MEMORIAL HOSPITAL |
| 520062 | OCONOMOWOC MEMORIAL HOSPITAL |
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 E Division St, Fond Du Lac, WI 54935-4560 | AGNESIAN HEALTHCARE INC | |
| 430 E Division St, Fond Du Lac, WI 54935-4560 | 9209292300 | AGNESIAN HEALTHCARE INC |
| 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2172459541 | APOGEE MEDICAL GROUP ILLINOIS P C |
| 360 S Mountin Dr, Mayville, WI 53050-1498 | 9203872111 | AGNESIAN HEALTHCARE INC |
| 791 Summit Ave, Oconomowoc, WI 53066-3844 | 2625604544 | APOGEE MEDICAL GROUP WAUKESHA SC |
| 835 Parkside St, Ripon, WI 54971-8505 | 9207483101 | AGNESIAN HEALTHCARE INC |
| 845 Parkside St, Ripon, WI 54971-8505 | 9207483101 | AGNESIAN HEALTHCARE INC |
| 725 American Ave, Waukesha, WI 53188-5031 | 2629285400 | APOGEE MEDICAL GROUP WAUKESHA SC |
| 608 W Brown St, Waupun, WI 53963-1702 | 9203246800 | AGNESIAN HEALTHCARE INC |
| 620 W Brown St, Waupun, WI 53963-1702 | AGNESIAN HEALTHCARE INC |
| Organization Legal Name | APOGEE MEDICAL GROUP ILLINOIS P C |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Charlotte F Douglas | Nurse Practitioner | Apogee Medical Group Illinois P C | 200 Stahlhut Dr, Lincoln, IL 62656-5066 |
| Razvan Ilie Ducu | Hospitalist | Apogee Medical Group Illinois P C | 200 Stahlhut Dr, Lincoln, IL 62656-5066 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Luis Alejandro Diaz Quintero | Hospitalist | Apogee Medical Group Illinois P C | 200 Stahlhut Dr, Lincoln, IL 62656-5066 |
| Cindy A Okolo | Nurse Practitioner | Apogee Medical Group Illinois P C | 200 Stahlhut Dr, Lincoln, IL 62656-5066 |
| Muhammad Khattak | Nephrology | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Street Address |
1600 W WALNUT ST |
| City | JACKSONVILLE |
| State | IL |
| Zip | 62650-1136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Eli Gottlieb Goodman | Internal Medicine | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Alexander David Raw | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 1600 W Walnut St, Jacksonville, IL 62650-1199 |
| Helen D Kwong | Internal Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| William G Loveland | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
| Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
| Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
| Tracy A Stucker | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Nathan M Jones | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Susan S Wexler | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Charles M Sheaff | General Surgery | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Timothy A Vanfleet | Orthopedic Surgery | Orthopaedic Center of Il | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Julie W Tennill | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Muhammad Khattak | Nephrology | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in zip 62650 | |||
| City | JACKSONVILLE |
| Zip Code | 62650 |
| Specialty | HOSPITALIST |
| City + Specialty | JACKSONVILLE + HOSPITALIST |
Please comment or provide details below to improve the information on Ahmed M Ibn-mahfoudh.
| 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.