MAQBOOL AHMAD (NPI# 1033355631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033355631 |
| Entity Type | Organization |
| Organization Name | MAQBOOL AHMAD |
| Other Organization Name | MARION EYE SURGERY CENTER, L.L.C. |
| Practice Address |
2900 Broadway St Suite B Mount Vernon IL 62864-2341 |
| Mailing Address |
1200 W Deyoung St P.o. Box 1178 Marion IL 62959-4437 |
| Practice Telephone | 6189935686 |
| Practice Fax Number | 6189976250 |
| Mailing Telephone | 6189935686 |
| Mailing Fax Number | 6189976250 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | DR. MAQBOOL AHMAD (OWNER) |
| Authorized Official Telephone | 6189935686 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
036051996 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF ILLINOIS | 51524 | 01 |
| IL | HEALTHLINK | A03147 | 01 |
| IL | MEDICARE RAILROAD | P00802628 | 01 |
| Other Name | Type Code |
|---|---|
| Marion Eye Surgery Center, L.L.C. | Doing Business As Name - Organization |
| Street Address |
2900 BROADWAY ST SUITE B |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386623494 | Alison E Sanker | Nurse Anesthetist, Certified Registered | 2900 Broadway St, Suite B, Mount Vernon, IL 62864-2341 | 2006-01-17 |
| 1346698602 | Marion Eye Surgery Center LLC | Clinic/Center | 2900 Broadway St, Ste. B, Mount Vernon, IL 62864-2341 | 2016-05-27 |
| 1295156669 | Marion Eye Surgery Center LLC | Clinic/Center | 2900 Broadway St, Suite B, Mount Vernon, IL 62864-2341 | 2014-01-02 |
| 1063709731 | Erin Hocking Ayers | Optometrist | 2900 Broadway St, Suite A, Mount Vernon, IL 62864-2341 | 2011-07-01 |
| 1992860548 | Marion Eye Centers Ltd | Durable Medical Equipment & Medical Supplies | 2900 Broadway St, Ste. A, Mount Vernon, IL 62864-2341 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225252257 | Eye Associates Surgery Center Inc | Clinic/Center | 2100 Little Mountain Ln Ste B, Mount Vernon, WA 98274-8752 | 2007-04-12 |
| 1346698602 | Marion Eye Surgery Center LLC | Clinic/Center | 2900 Broadway St, Ste. B, Mount Vernon, IL 62864-2341 | 2016-05-27 |
| 1295156669 | Marion Eye Surgery Center LLC | Clinic/Center | 2900 Broadway St, Suite B, Mount Vernon, IL 62864-2341 | 2014-01-02 |
| 1285980151 | Physicians Surgery Center At Good Samaritan, LLC | Clinic/Center | 2 Good Samaritan Way, Ste 200, Mount Vernon, IL 62864-2476 | 2012-07-30 |
| 1881928976 | N W Eye Surgeons P C | Clinic/Center | 1306 Roosevelt Ave, Mount Vernon, WA 98273 | 2009-09-23 |
| 1821158544 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2006-12-11 |
| 1437105368 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2006-05-25 |
| 1457350712 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.