DR. MOHAMMED A. RAHMAN (NPI# 1396073813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396073813 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMED A. RAHMAN |
| Credential | D.O |
| Practice Address |
1750 E Lake Shore Dr 110 Decatur IL 62521-3803 |
| Practice Telephone | 2174641200 |
| Practice Fax Number | 2174641210 |
| Mailing Telephone | 2174641200 |
| Mailing Fax Number | 2174641210 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036119897 | IL | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 99040095A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1336450873 | Mohammed R Rahman | Pharmacist | 140 Beverly Pl, Levittown, NY 11756-1702 | 2010-06-30 |
| 1346572336 | Mohammed Rahman | Pharmacist | 500 Commack Rd Ste 100a, Commack, NY 11725-5020 | 2010-02-02 |
| 1194963843 | Mohammed M Rahman | Emergency Medicine | 858 Woodland Hls, Harlan, KY 40831-2569 | 2009-02-02 |
| 1396931721 | Mohammed O Rahman | Psychiatry & Neurology | Dept of Popn & Intl Health, 677 Huntington Ave,bldg #1, Boston, MA 02115 | 2007-09-19 |
| 1194811521 | Mohammed M Rahman | Internal Medicine | 83 87 Woodhaven Blvd, Woodhaven, NY 11421 | 2006-10-05 |
| 1538154901 | Mohammed Ziaur Rahman | Internal Medicine | 151 Hempstead Tpke, West Hempstead, NY 11552-1622 | 2005-09-13 |
| 1013539147 | Mohammed Faizur Rahman | Student in an Organized Health Care Education/Training Program | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-05-12 |
| 1982264719 | Mohammed Ishfaqur Rahman | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-06-14 |
| 1952872111 | Mohammed Mominur Rahman | Respiratory Therapist, Registered | 2500 Merced St, San Leandro, CA 94577-4201 | 2018-12-16 |
| Street Address |
1750 E LAKE SHORE DR 110 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621516 | Jon Fredrick Petersen | Family Medicine | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2005-10-03 |
| 1265947451 | Antoniannette Pate | Nurse Practitioner | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2017-12-10 |
| 1578093225 | Jason Blanchetti | Nurse Practitioner | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2017-06-15 |
| 1992182331 | Alyson Webb | Nurse Practitioner | 1750 E Lake Shore Dr, Ste 310, Decatur, IL 62521-3803 | 2015-05-06 |
| 1932527017 | Adills Moosa | Preventive Medicine | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2014-04-04 |
| 1841579026 | Justin William Kierbs | Nurse Practitioner | 1750 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3803 | 2011-08-05 |
| 1194012260 | Nikesh Lath | Surgery | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2011-07-08 |
| 1922319839 | Chinelo C Echeazu | Obstetrics & Gynecology | 1750 E Lake Shore Dr, Suite 110, Decatur, IL 62521 | 2010-06-24 |
| 1215267596 | Vikram S Kotwal | Internal Medicine | 1750 E Lake Shore Dr, Suite 310, Decatur, IL 62521-3803 | 2010-01-08 |
| 1750617007 | Randi Rigsby | Nurse Practitioner | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3803 | 2009-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758358 | Allspine Surgery Center-2 LLC | Neurological Surgery | 1944 Clairmont Rd, Decatur, GA 30033-3406 | 2018-11-13 |
| 1639362155 | Neurosurgical Specialists At St. Mary's | Neurological Surgery | 1750 E Lake Shore Dr, Suite Ll2, Decatur, IL 62521-3803 | 2007-08-20 |
| 1164503132 | Atlanta Neurosurgical Associates, P.a. | Neurological Surgery | 2785 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-2515 | 2006-10-18 |
| 1295784429 | Sandea Anessa Greene-harris | Neurological Surgery | 2675 N Decatur Rd, Suite 110, Decatur, GA 30033-6131 | 2006-05-06 |
| 1962469734 | Robert R Kraus Jr. | Neurological Surgery | 2 Memorial Dr, Ste 207, Decatur, IL 62526-3950 | 2006-04-27 |
| 1508822701 | Oliver N Dold | Neurological Surgery | 2 Memorial Dr, Ste 207, Decatur, IL 62526-3950 | 2006-04-25 |
| 1306807094 | Richard Anderson Gullick Jr. | Neurological Surgery | 2675 N Decatur Rd, Suite 110, Decatur, GA 30033-6131 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1891281499 | Kamran Khan, Sc | Neurological Surgery | 1890 Silver Cross Blvd Ste 450, New Lenox, IL 60451-9518 | 2018-07-06 |
| 1881124030 | Denise Brunozzi | Neurological Surgery | 912 South Wood Street, 451 N - Hc 739, Chicago, IL 60612 | 2017-06-19 |
| 1407218365 | St Anthonys Physician Organization of Illinois | Neurological Surgery | 211 S Burns Ave, Sparta, IL 62286-1895 | 2016-03-22 |
| 1225455181 | Jehad Algharabli | Neurological Surgery | 2218 S Leavitt St, Chicago, IL 60608-4008 | 2014-03-27 |
| 1992041461 | Gursant Atwal | Neurological Surgery | University of Il Hospital & Health Science System, 1740 W Taylor St, Chicago, IL 60612 | 2013-01-02 |
| 1629321112 | James Bruce Mansfield | Neurological Surgery | 5 Loch Ln, South Barrington, IL 60010-9532 | 2012-10-21 |
| 1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
| 1356637722 | Melissa M Stamates | Neurological Surgery | 2650 Ridge Ave Fl 3, Evanston, IL 60201 | 2011-06-23 |
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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.