MR. AHMED ALI OMAR (NPI# 1356312722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356312722 |
| Entity Type | Individual |
| Full Name | MR. AHMED ALI OMAR |
| Credential | M.D. |
| Practice Address |
9875 Hospital Dr Suite 3009 Maple Grove MN 55369-4648 |
| Practice Telephone | 7635811370 |
| Practice Fax Number | 7635813007 |
| Mailing Telephone | 7635811370 |
| Mailing Fax Number | 7635813007 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2014-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 48513 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588193775 | Ahmed Omar | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Atlanta, GA 30310 | 2017-06-09 |
| 1447649744 | Ahmed Omar | Non-emergency Medical Transport (VAN) | 9095 Cerritos Ave, Anaheim, CA 92804-5853 | 2015-01-09 |
| 1184856817 | Ahmed Hassan Omar | Interpreter | 1312 1/2 7th Street Nw, Suite 200, Rochester, MN 55901 | 2009-08-13 |
| 1205192168 | Ahmed Farghaly Omar | Ophthalmology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2012-04-05 |
| Street Address |
9875 HOSPITAL DR SUITE 3009 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951190 | Minnesota Neonatal Specialists | Pediatrics | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2020-04-21 |
| 1770028748 | Maple Grove Hospital Corporation | Pharmacy | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2016-12-30 |
| 1518336379 | Megan Ann Merrill | Nurse Practitioner | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2015-09-22 |
| 1023358546 | Kayla Jane Runkle | Nurse Anesthetist, Certified Registered | 9875 Hospital Dr, Maple Grove, MN 55369 | 2013-02-20 |
| 1780972265 | Vandi Jo Anderson | Pharmacist | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2011-07-18 |
| 1265748230 | Maple Grove Hospital Corporation | Non-Pharmacy Dispensing Site | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2010-08-27 |
| 1639484843 | Yetmwork Berhanu | Internal Medicine | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2010-08-11 |
| 1255659538 | Christina Patricia Russell | Pediatrics | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2010-05-11 |
| 1821326398 | Lisa Anne Holy | Pharmacist | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2009-11-22 |
| 1568614816 | Khandurao Bhanudas Khot | Hospitalist | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2008-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1770712788 | Christina Marie Ward | Internal Medicine | 9855 Hospital Dr Ste 104, Maple Grove, MN 55369-4648 | 2009-07-11 |
| 1184863938 | Srinivasa Reddy Vaka | Internal Medicine | Fairview Clinics-bass Lake, 6320 Wedgwood Rd N, Maple Grove, MN 55311-3647 | 2009-02-17 |
| 1336278415 | Lana R White-king | Internal Medicine | 7516 Mariner Dr, Maple Grove, MN 55311-2613 | 2007-03-05 |
| 1265533913 | Alakananda Nagaraj | Internal Medicine | 16920 81st Pl N, Maple Grove, MN 55311-1780 | 2006-09-26 |
| 1184666323 | Carl F Dando | Internal Medicine | 7365 Kirkwood Ct N Ste 120, Maple Grove, MN 55369 | 2006-06-12 |
| 1952366338 | John P Reed | Internal Medicine | 9555 Upland Ln N Fl 3, Maple Grove, MN 55369-4485 | 2006-04-19 |
| 1568442853 | Robert Christopher Rothaar | Internal Medicine | 6550 Fountain Ln N, Maple Grove, MN 55311-3764 | 2006-01-20 |
| 1225011760 | Bernt J Helgaas | Internal Medicine | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2005-11-29 |
| 1184980518 | Kimberly Ann Ollinger | Internal Medicine | 9555 Upland Lane N, Maple Grove, MN 55369 | 2012-04-10 |
| 1639484843 | Yetmwork Berhanu | Internal Medicine | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2010-08-11 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.