FAISEL AHMAD (NPI# 1154543916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154543916 |
Entity Type | Individual |
Full Name | FAISEL AHMAD |
Credential | M.D. |
Practice Address |
1200 W Deyoung St Marion IL 62959-4437 |
Practice Telephone | 6189935686 |
Practice Fax Number | 6189976250 |
Mailing Telephone | 6189935686 |
Mailing Fax Number | 6189976250 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2017-04-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 125-051104 | IL | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 036.126730 | IL | Allopathic & Osteopathic Physicians |
N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
2011002933 | MO | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
036126730 | IL | Allopathic & Osteopathic Physicians |
Street Address |
1200 W DEYOUNG ST |
City | MARION |
State | IL |
Zip Code | 62959-4437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508865643 | Marion Eye Centers Ltd. | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2005-07-20 |
1518319029 | Ashley Aylesworth | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2016-07-08 |
1891108957 | Tyler Michael Bradford | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2014-06-06 |
1881979136 | Megan Moore | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2011-10-19 |
1235413246 | Marion Eye Center Anesthesia Group Inc | Anesthesiology | 1200 W Deyoung St, Marion, IL 62959-4437 | 2011-10-10 |
1407015886 | Ayesha Qurratulain Rather | Internal Medicine | 1200 W Deyoung St, Marion, IL 62959-4437 | 2008-06-02 |
1063692903 | Marion Eye Centers Ltd | Durable Medical Equipment & Medical Supplies | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-11-08 |
1013117159 | Emily Smith | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-07-18 |
1902009632 | Keith Tyhurst | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-06-08 |
1558419325 | Robert Carl Smith | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-01-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
Find all providers in zip 62959 |
Taxonomy Code | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275739518 | Retina Macula Specialists, P.C. | Ophthalmology | 550 E. Boughton Road Suite 120, Bilingbrook, IL 60440 | 2007-06-25 |
1447243407 | Irma Ahmed | Ophthalmology | 550 E. Boughton Rd, Suite 120, Bolingbrook, IL 60440 | 2005-08-25 |
1689666885 | Michael A Grassi | Ophthalmology | 1012 95th St Ste 9, Naperville, IL 60564-5040 | 2005-08-16 |
1376022426 | Marion Eye Centers Ltd. | Ophthalmology | 621 S 2nd St, Greenville, IL 62246-1744 | 2018-08-09 |
1790211381 | Reitna Institute of Illinois | Ophthalmology | 8780 W Golf Rd, Ste 304, Niles, IL 60714-5602 | 2017-05-03 |
1023472560 | Chirag Shah | Ophthalmology | 71 W 156th St Ste 400, Harvey, IL 60426-4265 | 2016-04-11 |
1598121113 | Grassi Retina Md Sc | Ophthalmology | 1012 95th St, Suite 9, Naperville, IL 60564-5041 | 2016-01-12 |
1366820441 | Omar Hassan | Ophthalmology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-05-11 |
1235572173 | Ria Dirghayu Desai | Ophthalmology | 259 E Erie St Ste 1520, Chicago, IL 60611-3111 | 2013-04-10 |
1679836647 | Andrew W Francis | Ophthalmology | 303 W Lake St, Ste 303, Addison, IL 60101-2586 | 2012-06-24 |
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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.