IMDAD AHMED (NPI# 1053536219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053536219 |
| Entity Type | Individual |
| Full Name | IMDAD AHMED |
| Credential | MD |
| Practice Address |
1000 Mineral Point Ave Janesville WI 53548-2940 |
| Practice Telephone | 6087566868 |
| Practice Fax Number | 6087566289 |
| Mailing Telephone | 6087566868 |
| Mailing Fax Number | 6087566289 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 102950 | MN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
052275 | CT | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MT198590 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
65353-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036-140036 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
052275 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1053536219 | 05 |
| Street Address |
1000 MINERAL POINT AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278870 | Shahid Shekhani | Internal Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2005-07-12 |
| 1164020152 | Sara Ann Kaster | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-10-13 |
| 1528675824 | Rachel L Brueggen | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-09-30 |
| 1699386839 | John Patrick Newlon | Occupational Therapist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-08-12 |
| 1174154330 | Nicki Lynn Seager | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-27 |
| 1295375798 | David William Castellanos | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-13 |
| 1073152245 | Roger Eric Rundquist | Pharmacist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-05 |
| 1245876515 | Adam Thomas Brogley | Specialist/Technologist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-11-21 |
| 1013567841 | Pauline R Cass | Pharmacist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-09-13 |
| 1023673878 | Courtney Lynn Georg | Specialist/Technologist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427208099 | Afroz A Hai | Internal Medicine | 725 American Ave Ste 410, Prohealth Care Cardiology, Waukesha, WI 53188-5031 | 2008-09-19 |
| 1306018007 | Rashad H Khazi Syed | Internal Medicine | 2350 N Lake Drive, Suite 206, Csmcp Cardiac Rhythm Specialists, Milwaukee, WI 53211-2984 | 2008-04-02 |
| 1851493647 | Cardiac Rhythm Specialists Sc | Internal Medicine | 3805 Spring St, Suite 310, Racine, WI 53405-1667 | 2006-09-02 |
| 1588614937 | Stephen T Denker | Internal Medicine | 2025 W Oklahoma Avenue, Suite 102, Milwaukee, WI 53215-4455 | 2006-05-10 |
| 1235106089 | Vicken R Vorperian | Internal Medicine | 725 American Ave Suite 410, Prohealth Care Medical Associates Cardiology, Waukesha, WI 53188-5071 | 2006-03-01 |
| 1194721407 | Nguyen H Phan | Internal Medicine | 2350 N Lake Dr, Ste 206, Milwaukee, WI 53211-4528 | 2005-06-22 |
| 1821591710 | Phoenixc Healthcare, Sc | Internal Medicine | 6121 Green Bay Rd Ste 100, Kenosha, WI 53142-2931 | 2018-03-16 |
| 1083933170 | Bilal Omery | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2010-05-28 |
| 1962729517 | Jeremy J Zimmermann | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2010-04-22 |
| 1740511161 | Csm Community Physicians | Internal Medicine | 1414 N Taylor Dr, Sheboygan, WI 53081-1988 | 2010-01-25 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
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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.