MUDASSAR KHAN (NPI# 1386098440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386098440 |
| Entity Type | Individual |
| Full Name | MUDASSAR KHAN |
| Credential | D.O. |
| Practice Address |
4401 Riverchase Dr Phenix City AL 36867 |
| Practice Telephone | 3347323000 |
| Mailing Telephone | 3347323022 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8728 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4401 RIVERCHASE DR |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107583 | Kaleb Andrew Burgess | Nurse Anesthetist, Certified Registered | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-06-08 |
| 1639791254 | Jacob Taunton | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-05-18 |
| 1598385650 | Meera Gill | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-04-19 |
| 1215564232 | Michael Taylor Ulmer | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-03-27 |
| 1629609631 | Nes Tennessee Inc | Emergency Medicine | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-01-29 |
| 1083109698 | Andrew S. Bae | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2018-06-26 |
| 1164917779 | Joseph P Kelly | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2018-06-26 |
| 1114447380 | Julia Fink | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2017-06-20 |
| 1053831230 | Alfred Gianni Ricci | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2017-06-20 |
| 1376998468 | Gilberto Gomez | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2016-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1437549987 | Elizabeth A. Romey | Counselor | 3700 S. Railroad St, Ste. A, Phenix City, AL 36867 | 2015-02-04 |
| Find all providers in zip 36867 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1376998468 | Gilberto Gomez | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2016-04-26 |
| 1003260985 | Christopher Daniel Muncie | Orthopaedic Surgery | 4401 River Chase Dr, Phenix City, AL 36867-7483 | 2016-04-18 |
| 1538588769 | Samuel Thomas | Orthopaedic Surgery | 4401 River Chase Dr, Phenix City, AL 36867 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053342 | Bayside Orthopaedic & Rehabilitation Center, P.C. | Orthopaedic Surgery | 101 E 15th Ave Ste B, Gulf Shores, AL 36542-3501 | 2020-04-30 |
| 1053954941 | Orthosports Associates, LLC | Orthopaedic Surgery | 41 Eminence Way, Pell City, AL 35128 | 2019-10-23 |
| 1710520192 | Orthosports Associates, LLC | Orthopaedic Surgery | 7191 Cahaba Valley Rd Ste 200b, Birmingham, AL 35242-6443 | 2019-10-18 |
| 1356872691 | University of North Alabama | Orthopaedic Surgery | 1 Harrison Plz, Self Field House, Florence, AL 35632-0002 | 2017-03-27 |
| 1316480718 | Bramlett Orthopaedic LLC | Orthopaedic Surgery | 200 Montgomery Hwy Ste 200, Vestavia, AL 35216-1896 | 2016-12-02 |
| 1619330719 | Zachary Davis Moore | Orthopaedic Surgery | 3421 Medical Park Dr # 2, Mobile, AL 36693-3330 | 2016-04-05 |
| 1811350481 | Mark Alan Prevost II | Orthopaedic Surgery | 3421 Medical Park Dr # 2-221, Mobile, AL 36693-3330 | 2016-03-31 |
| 1902264161 | Orthosports Associates, LLC | Orthopaedic Surgery | 7067 Verterans Parkway, 200, Pell City, AL 35125-9368 | 2016-02-03 |
| 1639576887 | Jason D. Cobb, Md, LLC | Orthopaedic Surgery | 52 Medical Park Dr E Ste 220, Birmingham, AL 35235-3428 | 2014-12-02 |
| 1679990592 | Samuel Evan Carstensen | Orthopaedic Surgery | 120 Cahaba Valley Pkwy Ste 100, Pelham, AL 35124-1187 | 2014-03-28 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
Please comment or provide details below to improve the information on MUDASSAR KHAN.
| 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.