DR. MOHAMED G MOHAMED (NPI# 1386721579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386721579 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED G MOHAMED |
| Credential | MD |
| Practice Address |
6320 Old Winter Garden Rd Orlando FL 32835-1381 |
| Mailing Address |
Po Box 616788 Orlando FL 32861-6788 |
| Practice Telephone | 4072900555 |
| Practice Fax Number | 4072950028 |
| Mailing Telephone | 4072900555 |
| Mailing Fax Number | 4072950028 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD430130 | PA | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME116369 | FL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
252170 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03080848 | 05 | |
| FL | MEDICAL LICENSE | ME116369 | 01 |
| FL | DEA CERTIFICATE | FM0009375 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868680 | Mohamed A Mohamed | Non-emergency Medical Transport (VAN) | 2910 E Franklin Ave Apt 1011, Minneapolis, MN 55406-1140 | 2020-10-12 |
| 1497380554 | Mohamed Amin Mohamed | Home Health | 3447 S Grand Blvd, Saint Louis, MO 63118-1018 | 2020-03-10 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1689101131 | Mohamed Mohamed | Private Vehicle | 5701 Shingle Creek Pkwy Ste 600f, Brooklyn Center, MN 55430-2355 | 2017-05-15 |
| 1245763531 | Mohamed Gamal Mohamed | Student in an Organized Health Care Education/Training Program | 79 Charwood Cir, Rochester, NY 14609-2719 | 2017-04-04 |
| 1538519582 | Mohamed Mohamed | Physical Therapist | 40 Monticello St Apt 7, Monticello, NY 12701-1800 | 2016-06-20 |
| 1609257559 | Mohamed Mohamed | Driver | 2625 Castle St, Irving, TX 75038-5807 | 2015-06-17 |
| 1508267261 | Mohamed Mohamed | Pharmacist | 242 Talcottville Rd, Vernon, CT 06066-4631 | 2014-09-11 |
| 1215336490 | Mohamed Mohamed | Contractor | 1601 Bethel Rd, Suite 110, Columbus, OH 43220-2006 | 2014-08-14 |
| 1104955624 | Mohamed A Mohamed | Specialist | 2546 Cropsey Ave, 2nd Floor, Brooklyn, NY 11214-6604 | 2007-03-02 |
| Street Address |
6320 OLD WINTER GARDEN RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753287 | Sabrina P Gmerek-pettus | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2005-10-07 |
| 1790227494 | Nicole A Bridgman | Registered Nurse | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2016-11-11 |
| 1356731715 | Dorothy Dawn Baldovino Ibasco | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2015-01-23 |
| 1194088666 | Michele T Roberts-perkins | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2012-06-20 |
| 1063713436 | Amy Sue Barton | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2010-11-16 |
| 1487825808 | Arnold W Fleischmann | Internal Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2008-03-13 |
| 1477741817 | Rodrigo Pontes Pereira | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2007-10-11 |
| 1124197439 | Annam M Manchery | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-11-08 |
| 1184701740 | Family Physician Group | General Acute Care Hospital | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-11-01 |
| 1912935008 | Family Physicians of Winter Park, Inc. | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1083948392 | Sun State Physicians Services, LLC | Family Medicine | Spring Hills At Hunter's Creek, Town Center Blvd, Orlando, FL 32837 | 2009-09-21 |
| 1407969124 | Gary Donald Miller | Family Medicine | 5151 Adanson St, Suite 200, Orlando, FL 32804-1330 | 2006-08-16 |
| 1699796243 | Mariana Beatriz Dangiolo | Family Medicine | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2006-07-21 |
| 1639106578 | Zeini Medical Group Pa | Family Medicine | 1817 Crescent Blvd, Orlando, FL 32817-4614 | 2006-06-27 |
| 1932186137 | Mark A. Bobek M.d., Pa | Family Medicine | 713 Cedarwood Ct, Orlando, FL 32828-8144 | 2005-12-28 |
| 1427031707 | Israel I Caro | Family Medicine | 11317 Lake Underhill Rd Ste 100, Orlando, FL 32825-4452 | 2005-11-21 |
| 1982603056 | Susan Joy Drukman | Family Medicine | 11325 Lake Underhill Rd, Suite 101, Orlando, FL 32825-5090 | 2005-07-20 |
| 1114336740 | Physician Next Door, LLC | Family Medicine | 1834 N Alafaya Trl, Suite C, Orlando, FL 32826-4743 | 2014-08-07 |
| 1669813135 | Little Angel Silver Star LLC | Family Medicine | 4614 S Kirkman Rd, Orlando, FL 32811-2891 | 2013-07-12 |
| Find all providers in ORLANDO | ||||
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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.