AHMAD MOSSA-BASHA (NPI# 1306263306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306263306 |
| Entity Type | Individual |
| Full Name | AHMAD MOSSA-BASHA |
| Credential | DO |
| Practice Address |
1515 N Madison Ave Anderson IN 46011-3453 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7652984242 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 02005110A | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 02005110A | IN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 02005110A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300004937 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 W 86th St, Indianapolis, IN 462601902 | 3173382281 | 3173382851 |
| Street Address |
1515 N MADISON AVE |
| City | ANDERSON |
| State | IN |
| Zip Code | 46011-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346530 | Community Pathology & Nuclear Medicine PC | Pathology | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2005-06-15 |
| 1427672393 | Scott Gull | Physical Therapist | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2020-06-05 |
| 1679197545 | Nathan Thomas Clem | Physical Therapist | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2020-06-05 |
| 1336768605 | Jonathan Alexander Trawick | Pharmacist | 1515 N Madison Ave, Anderson, IN 46011-3457 | 2020-04-15 |
| 1609435304 | Holly Kingery | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2019-06-07 |
| 1699236588 | Lydia Marie Schneider | Speech-Language Pathologist | 1515 N Madison Ave, Anderson, IN 46011-3457 | 2019-03-25 |
| 1851876098 | Susan Jane Morical | Family Medicine | 1515 N Madison Ave, Anderson, IN 46011-3457 | 2018-10-03 |
| 1356855514 | Danielle Christine Olney | Dietitian, Registered | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2017-11-27 |
| 1235665530 | Joanne Amick | Registered Nurse | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2017-05-05 |
| 1902258866 | Audrey A. Dickerson | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011 | 2016-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662226 | Full Circle Family Solutions, LLC | Counselor | 909 Northwood Drive, Anderson, IN 46011 | 2019-10-31 |
| 1497186563 | Andrea C Rich | Social Worker | 1317 Winding Way, Anderson, IN 46011 | 2013-11-27 |
| 1093080848 | Franklin Keith Beeler | Family Medicine | 930 Summerlin Court, Anderson, IN 46011 | 2012-03-13 |
| 1063609642 | Christopher Place At Keystone Woods Associates, LLC | Assisted Living Facility | 2334 North Madison Ave, Anderson, IN 46011 | 2007-09-27 |
| 1720155187 | Garry L Smith Dds PC | Dentist | 1528 Medical Arts Blvd, Anderson, IN 46011 | 2006-11-29 |
| 1891711586 | Suzanne Obrien Beeson | Psychologist | 1210 Medical Arts. Blvd., Suite 208, Anderson, IN 46011 | 2006-07-14 |
| 1669471199 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1809 N Madison Ave, Anderson, IN 46011 | 2005-07-18 |
| 1265980742 | Andrew J Koehler | Counselor | 2010 Brentwood Dr, Anderson, IN 46011 | 2016-09-14 |
| 1447696653 | Julie Hoogerhyde Holt | Family Medicine | 1601 Medical Arts Blvd Ste 100, Anderson, IN 46011 | 2013-05-14 |
| 1598956450 | Cheryl Kim Tweed | Nurse Practitioner | 1210 Medical Arts Blvd, 315, Anderson, IN 46011 | 2007-08-06 |
| Find all providers in zip 46011 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396028205 | Anmed Health | Hospitalist | 2000 E Greenville Street, Anderson, SC 29621-5702 | 2011-09-27 |
| 1972855229 | St. Vincent Anderson Regional Hospital, Inc. | Hospitalist | 2015 Jackson St, Anderson, IN 46016-4337 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865159 | Nichole Renee Sebesky | Hospitalist | 629 Park Dr, Franklin, IN 46131-7685 | 2020-09-10 |
| 1407239114 | Thomas Ryan Cervone | Hospitalist | Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 | 2015-06-30 |
| 1104194547 | Select Specialty Hospital - Evansville, LLC | Hospitalist | 400 Se 4th St, Evansville, IN 47713-1206 | 2011-12-13 |
| 1073826780 | Indiana University Health Starke Hospital LLC | Hospitalist | 102 East Culver Road, Knox, IN 46534-2216 | 2010-07-22 |
| 1295863199 | Jason S. Henderson | Hospitalist | 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 | 2007-03-01 |
| 1619087707 | Shelene S. Ruggio | Hospitalist | 503 Steeplechase Dr, Auburn, IN 46706-9127 | 2006-08-30 |
| 1427161801 | Krishna Datta | Hospitalist | 2520 E. Dupont Road, Fort Wayne, IN 46825 | 2006-08-17 |
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| 1154321099 | Johnson Memorial Hospital | Hospitalist | 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
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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.