MOHAMED A OMBALLI


Address: 3003 W Good Hope Rd, Milwaukee, WI 53209-2042
Phone: 4143523100

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 1184867996 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1658 St Vincents Way Ste 100, Middleburg, FL 320688459 9046024481 9043541340

Office Location

Street Address 3003 W GOOD HOPE RD
City MILWAUKEE
State WI
Zip Code 53209-2042

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MILWAUKEE
Zip Code 53209

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Dataset Information

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.

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