IMTIAZ AHMAD (NPI# 1174521009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174521009 |
| Entity Type | Individual |
| Full Name | IMTIAZ AHMAD |
| Credential | MD |
| Practice Address |
16420 Healthpark Commons Dr Suite 100 Fort Myers FL 33908-9621 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 2394376670 |
| Practice Fax Number | 2394378871 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME76783 | FL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
ME76783 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE THROUGH LEE PHO | 264114 | 01 |
| FL | AVMED | 307272 | 01 |
| FL | BCBS OF FL | 42972 | 01 |
| FL | FREEDOM HEALTH | ASLC2013 | 01 |
| FL | RAILROAD MCR | P01266913 | 01 |
| FL | AETNA | 7809584 | 01 |
| FL | CIGNA | 2066082 | 01 |
| FL | MEDICARE (WELLCARE) AND MEDICAID (STAYWELL) | 264114 | 01 |
| FL | 2705354-00 | 05 | |
| FL | OPTIMUM | P930339 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803212 | Imtiaz M Ahmad | Family Medicine | 11580 Overlook Drive, Suite100, Clarian Urgent Care, Fishers, IN 46038-4212 | 2005-12-29 |
| 1962494997 | Imtiaz Ahmad | Radiology | 127 South Broadway, Yonkers, NY 10701-4006 | 2005-08-16 |
| 1699307504 | Imtiaz Ahmad | Pharmacist | 52950 Gratiot Ave, Chesterfield, MI 48051-2046 | 2020-02-08 |
| 1952817165 | Imtiaz Ahmad | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2017-12-26 |
| 1720146384 | Imtiaz Ahmad | Pathology | 308 Willow Ave., Hoboken, NJ 07030-3808 | 2006-12-05 |
| 1265509988 | Imtiaz Ahmad | Internal Medicine | 2832 Linden Blvd, Brooklyn, NY 11208-5132 | 2006-11-29 |
| 1184661704 | Imtiaz Ahmad | Internal Medicine | 1760 Whitehorse Hamilton Square Rd, Trenton, NJ 08690-3535 | 2006-06-01 |
| Street Address |
16420 HEALTHPARK COMMONS DR SUITE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154790384 | Mathew J Bauerle | Nurse Practitioner | 16420 Healthpark Commons Dr, Ste. 100, Fort Myers, FL 33908-9621 | 2015-09-17 |
| 1518393362 | Genesiscare Usa of Florida LLC | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1114911609 | Sunil N Lalla Md Pa | Internal Medicine | 14171 Metropolis Ave, 202, Fort Myers, FL 33912-4335 | 2005-09-11 |
| 1760911051 | Jec Physician Services, LLC | Internal Medicine | 13670 Metropolis Ave Ste 106, Fort Myers, FL 33912-4346 | 2017-06-08 |
| 1518393362 | Genesiscare Usa of Florida LLC | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2013-09-24 |
| 1902177058 | Mohammad A Rashid | Internal Medicine | 9470 Healthpark Cir, Fort Myers, FL 33908-3600 | 2012-01-21 |
| 1790081701 | Jordan Kristofer Taillon | Internal Medicine | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2011-02-08 |
| 1093978215 | Antonio R. Pizarro | Internal Medicine | 5820 Buckingham Rd, Fort Myers, FL 33905-7413 | 2008-07-08 |
| 1982810669 | Rami Almadi | Internal Medicine | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2007-05-16 |
| 1407994262 | Warren A Wilkes | Internal Medicine | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966 | 2007-02-02 |
| 1699832949 | Razak Abdul Dosani | Internal Medicine | 5216 Clayton Court, Fort Myers, FL 33907 | 2007-01-03 |
| 1255436440 | Siegel, Hannan, & Tolep M.d.p.a | Internal Medicine | 9981 S Healthpark Dr, 279, Fort Myers, FL 33908-3618 | 2006-09-13 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on IMTIAZ AHMAD.
| 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.