SANUSI MOHAMMED (NPI# 1356858542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356858542 |
Entity Type | Individual |
Full Name | SANUSI MOHAMMED |
Credential | NP |
Practice Address |
24 Newton St # 28 Southborough MA 01772-1215 |
Mailing Address |
630 Plantation St Fl Street12 Worcester MA 01605-2038 |
Practice Telephone | 5084603250 |
Practice Fax Number | 5084538152 |
Mailing Telephone | 5084603250 |
Mailing Fax Number | 5084538152 |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN284005 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
24 NEWTON ST # 28 |
City | SOUTHBOROUGH |
State | MA |
Zip Code | 01772-1215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
Find all providers in zip 01772 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972142479 | Anne Marie Marie Desmond | Nurse Practitioner | 5 Pinecone Ln, Southborough, MA 01772-1244 | 2019-12-31 |
1477618080 | Carmen Suarez | Nurse Practitioner | 24 Newton St, Southborough, MA 01772-1215 | 2006-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
Find all providers with the same taxonomy |
City | SOUTHBOROUGH |
Zip Code | 01772 |
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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.