DR. MOHAMMED NASIRUDDIN SIDDIQUI (NPI# 1366513426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366513426 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMED NASIRUDDIN SIDDIQUI |
| Credential | MD FACS |
| Practice Address |
609 New York Ranch Rd Jackson CA 95642-9328 |
| Practice Telephone | 2092570301 |
| Practice Fax Number | 2092570302 |
| Mailing Telephone | 2092570301 |
| Mailing Fax Number | 2092570302 |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C51828 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184916983 | Mohammed Muhibbulla Siddiqui | Internal Medicine | 451 E Almond Ave Ste 101, Madera, CA 93637-5562 | 2011-05-11 |
| 1962598086 | Mohammed Abdul Raoof Siddiqui | Internal Medicine | 13 W Us Highway 30, Schererville, IN 46375-2266 | 2006-10-05 |
| 1417584707 | Mohammed Zaid Siddiqui | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-03-25 |
| 1861056251 | Mohammed Siddiqui | Student in an Organized Health Care Education/Training Program | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2019-05-01 |
| 1215432596 | Mohammed Abdulqawi Siddiqui | Student in an Organized Health Care Education/Training Program | 1801 N Broad St, Philadelphia, PA 19122-6003 | 2018-03-28 |
| 1508228669 | Mohammed Abdul Khadar Siddiqui | Pediatrics | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-03-28 |
| 1215303375 | Mohammed Azfar Siddiqui | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2015-08-12 |
| 1275917957 | Mohammed Siddiqui | Internal Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2015-07-13 |
| 1134538317 | Mohammed Siddiqui | Pharmacist | 360 Hungerford Dr, Rockville, MD 20850-4167 | 2014-08-12 |
| 1255746632 | Mohammed Siddiqui | Internal Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2014-06-24 |
| Street Address |
609 NEW YORK RANCH RD |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-9328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679657860 | Shanti Siddiqui | Internal Medicine | 609 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-10-24 |
| 1407027444 | Shanti Siddiqui, M.d. A Professional Corporation | Specialist | 609 New York Ranch Rd, Jackson, CA 95642-9328 | 2008-03-18 |
| 1326219361 | Mohammed Siddiqui, M.d. A Professional Corporation | Specialist | 609 New York Ranch Rd, Jackson, CA 95642-9328 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851731103 | Zachary James Virgin | Surgery | 300 W Washington Ave Ste 300, Jackson, MI 49201-2160 | 2013-07-01 |
| 1407290372 | Derek S. Palmer | Surgery | 120 District Blvd Apt 433, Jackson, MS 39211-6389 | 2013-04-23 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1639419997 | Fred Silvestri Md, LLC | Surgery | 4 Long Bay Rd, Jackson, NJ 08527-2662 | 2013-02-25 |
| 1528356482 | James P. Spell | Surgery | 21 Lamplighter Rd., Jackson, MS 39208 | 2011-07-13 |
| 1629371018 | Richard L Yelverton Md Pa | Surgery | 1040 River Oaks Dr Ste 102, Jackson, MS 39232-9539 | 2010-12-07 |
| 1619125952 | Otha Edward Williams Jr. | Surgery | 1736 Lake Trace Dr, Jackson, MS 39211-3353 | 2008-08-28 |
| 1770604803 | Rajesh Kuruba | Surgery | 1500 E Woodrow Wilson Ave., Jackson, MS 39216-5199 | 2007-04-03 |
| 1679692396 | Reginald Willis Martin | Surgery | 971 Lakeland Dr Ste 211, Jackson, MS 39216-4607 | 2007-03-28 |
| 1295878783 | P George Poore | Surgery | 555 East Broadway Ste 212, Jackson, WY 83001-4777 | 2007-02-14 |
| Find all providers in JACKSON | ||||
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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.