MOHAMED A OMBALLI (NPI# 1184867996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184867996 |
Entity Type | Individual |
Full Name | MOHAMED A OMBALLI |
Credential | M.D |
Practice Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
Practice Telephone | 4143523100 |
Mailing Telephone | 9044506017 |
Mailing Fax Number | 9044506041 |
Enumeration Date | 2009-04-08 |
Last Update Date | 2020-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD.205534 | LA | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME139906 | FL | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME139906 | FL | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Q9220 | TX | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
55410 | WI | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | MD.205534 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1184867996 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1658 St Vincents Way Ste 100, Middleburg, FL 320688459 | 9046024481 | 9043541340 |
Street Address |
3003 W GOOD HOPE RD |
City | MILWAUKEE |
State | WI |
Zip Code | 53209-2042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740296 | Najwa A Beit Shawish | Pediatrics | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2005-06-16 |
1326675687 | Christopher James Valenti | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
1225665409 | Lisa Schmid | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
1356976856 | Kristen Moose | Dietitian, Registered | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-05 |
1083273197 | Andrew Wroblewski | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-06-12 |
1598222465 | Melissa C Helm | Nurse Practitioner | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-26 |
1386109429 | Advocate Aurora Healthcare | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-03 |
1316415565 | Ifeanyichukwu H Osude | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-11-06 |
1487129011 | Sara Hutchins | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-10-10 |
1295210052 | Liana Kerns | Speech-Language Pathologist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
Find all providers in zip 53209 |
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 |
---|---|---|---|---|
1790307080 | Rihawi Md Sc | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 445, Milwaukee, WI 53215-3669 | 2020-05-11 |
1699835256 | Stuart A Levy | Internal Medicine | 9509 N Wakefield Ct, Milwaukee, WI 53217-1245 | 2006-12-12 |
1861563058 | Omprakash Ahuja | Internal Medicine | 3070 N 51st Street, Suite 506, Milwaukee, WI 53210-1645 | 2006-11-11 |
1770005399 | Divyansh Bajaj | Internal Medicine | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-07-14 |
1003268343 | Mohammed Omer Ahmed Abdalla | Internal Medicine | 8701 W Watertown Plank Rd Dept Of, Milwaukee, WI 53226-3548 | 2016-07-11 |
1114353737 | Bangash Medical Associates Sc | Internal Medicine | 7235 W Appleton Ave, Milwaukee, WI 53216-1932 | 2013-09-16 |
1750721346 | Uzair Khan Ghori | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-06-27 |
1497091003 | Milwaukee Medical Associates, Sc | Internal Medicine | 2741 W Layton Ave, #201, Milwaukee, WI 53221-2600 | 2012-12-31 |
1477817351 | Andrew Jason Zane | Internal Medicine | 3201 S 16th St Ste 2015, Milwaukee, WI 53215 | 2012-06-26 |
1992063226 | Jorge Leopoldo Sanchez | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2012-04-24 |
Find all providers in MILWAUKEE |
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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.