AHMED H JAFRI (NPI# 1376597815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376597815 |
| Entity Type | Individual |
| Full Name | AHMED H JAFRI |
| Credential | M.D. |
| Practice Address |
305 W Jackson St Ste 103 Carbondale IL 62901-1474 |
| Mailing Address |
1438 S Grand Blvd Monteleone Hall Saint Louis MO 63104-1027 |
| Practice Telephone | 6183514972 |
| Practice Fax Number | 6183516522 |
| Mailing Telephone | 3149774883 |
| Mailing Fax Number | 3149774876 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036.078345 | IL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R1P30 | MO | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
R1P30 | MO | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
R1P30 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203014618 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3660 Vista Ave, Suite 303, Saint Louis, MO 631102540 | 3149776082 | 3149776086 |
| Street Address |
305 W JACKSON ST STE 103 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871542811 | Michael Anthony Bryant | Physician Assistant | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2006-05-08 |
| 1427609775 | Brandi Anderson | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2019-09-26 |
| 1689180978 | Hope Elizabeth Merkley | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2017-12-21 |
| 1932578895 | Cori Starkweather | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2015-09-22 |
| 1326423823 | Muhammad Amjad Hameed | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2015-07-25 |
| 1972914869 | Sahil Gupta | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2014-05-13 |
| 1609171206 | Crystal Adel Honold | Clinical Nurse Specialist | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2011-01-13 |
| 1265698260 | Gerson A Criste | Anesthesiology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2008-07-30 |
| 1619186269 | Tiffany Ward | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2007-05-21 |
| 1508807181 | Mark Fleming | Neurological Surgery | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184969420 | Advanced Sleep Institute LLC | Psychiatry & Neurology | 2731 West Main, Suite C, Carbondale, IL 62901-1000 | 2012-11-27 |
| 1790875987 | S I Neurology & Sleep Medicine LLC | Psychiatry & Neurology | 2731 West Main Street, Suite A, Carbondale, IL 62901 | 2006-10-16 |
| 1427033828 | Fakhre Alam | Psychiatry & Neurology | 2731 W Main St, Suite A, Carbondale, IL 62901-1027 | 2005-12-08 |
| 1326423823 | Muhammad Amjad Hameed | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2015-07-25 |
| 1023339033 | Esteban E Golombievski | Psychiatry & Neurology | 305 W Jackson St, Suite 103, Carbondale, IL 62901-1474 | 2010-06-14 |
| 1134384977 | Alejandro Hornik | Psychiatry & Neurology | 305 W Jackson St, Suite 103, Carbondale, IL 62901-1474 | 2008-07-21 |
| 1619186269 | Tiffany Ward | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.