Rana Zaheer Ahmad (NPI# 1467658153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1467658153 |
| Entity Type | Individual |
| Full Name | Rana Zaheer Ahmad |
| Credential | MD |
| Gender | Male |
| Practice Address |
40 Arch St Johnson City NY 13790-2102 |
| Practice Telephone | 6077636075 |
| Practice Fax Number | 6077635237 |
| Mailing Address |
346 Grand Ave Johnson City NY 13790-2580 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-03-29 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | 003117 | NY |
| No | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| No | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | 265835 | NY |
| Yes | 207QG0300X | Family Medicine · Geriatric Medicine | Allopathic & Osteopathic Physicians | 265835 | NY |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| NY | 03025734 | MEDICAID |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952678211 | Rana Ahmad | Pharmacist | 3699 E Broadway Blvd, Tucson, AZ 85716-5400 | 2011-11-30 |
| 1245519545 | Rana W Ahmad | Dentist | 2816 Columbiana Rd, Vestavia Hills, AL 35216-2518 | 2011-08-04 |
| 1689646705 | Rana N Ahmad | Surgery | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2006-02-02 |
| NPI | 1467658153 |
| PAC ID by PECOS | 2163590225 |
| Professional Enrollment ID | I20081003000083 |
| Full Name | Rana Zaheer Ahmad |
| Organization Legal Name | UNITED HEALTH SERVICES HOSPITALS INC |
| Phone Number | 6077638008 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | FAMILY PRACTICE, INTERNAL MEDICINE |
| Group Practice PAC ID | 5193610533 |
| Number of Group Practice Members | 263 |
| Accepts Medicare Assignment | Y |
| Report Quality Measures | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330011 | LOURDES HOSPITAL |
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| Street Address |
40 ARCH ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568150 | Lorne R Campbell Sr. | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2005-06-20 |
| 1124405600 | Lauren Zagieboylo | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2015-05-04 |
| 1235516022 | Urmi Das | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2015-04-30 |
| 1487031274 | Nor Darwish | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2015-04-30 |
| 1699194159 | Aditya Mehta | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1649699117 | Shownak Shreyarthi | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1780003244 | Kimberly Ni | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1295154730 | Mckirven Ceus | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1972920981 | Judith Lathrop Samsel | Registered Nurse | 40 Arch St, Johnson City, NY 13790-2102 | 2014-03-27 |
| 1043633878 | Julie Douglass | Dietitian, Registered | 40 Arch St, Johnson City, NY 13790-2102 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1285124446 | Jane Polhamus | Nurse Practitioner | 30 Harrison St Ste 340, Johnson City, NY 13790 | 2018-05-14 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682475 | Salut Medical PC | Family Medicine | 699 Stanley Ave, Brooklyn, NY 11207-7905 | 2016-07-12 |
| 1316316789 | Balance Medical Professional Primary Services Pllc | Family Medicine | 1150 Webster Ave., Bronx, NY 10456 | 2015-09-16 |
| 1225416837 | Good Neighbor Family Practice and Geriatrics, P.C. | Family Medicine | 13338 41st Rd Ste Co-3, Flushing, NY 11355-3782 | 2015-05-14 |
| 1720471402 | Kinga Kiszko | Family Medicine | 300 Community Dr Fl 4, Manhasset, NY 11030-3816 | 2015-03-05 |
| 1245667930 | Yelena Faynzilbert Do Pllc | Family Medicine | 62 Stratford Green, Farmingdale, NY 11735 | 2013-09-26 |
| 1063779346 | Melissa Borrero Md, Pllc | Family Medicine | 405 E 116th St, Unit 2, New York, NY 10029-1623 | 2012-04-11 |
| 1588943047 | J&j Star Medical Pllc | Family Medicine | 9320 70th Ave, Forest Hills, NY 11375-5828 | 2011-08-15 |
| 1629360995 | Eugene A Steinberg Md PC | Family Medicine | 8 Thames Ct, Getzville, NY 14068-1177 | 2011-05-05 |
| 1891010781 | Christine R. Viola | Family Medicine | 415 Ocean Pkwy, 4a, Brooklyn, NY 11218-4748 | 2010-04-02 |
| 1518190305 | Raouf Kodsy Physician PC | Family Medicine | 1644 Genesee St, Utica, NY 13502-5428 | 2009-08-27 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.