SHAD S AHMAD (NPI# 1417941725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417941725 |
| Entity Type | Individual |
| Full Name | SHAD S AHMAD |
| Credential | MD |
| Practice Address |
350 Surryse Rd Suite 100 Lake Zurich IL 60047 |
| Mailing Address |
350 Surryse Rd Ste 240 Lake Zurich IL 60047-3217 |
| Practice Telephone | 8474382144 |
| Practice Fax Number | 8474381597 |
| Mailing Telephone | 8473201900 |
| Mailing Fax Number | 8473201136 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2018-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036094910 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Surryse Rd Ste 240, Lake Zurich, IL 600473217 | 8473201900 | 8473201136 |
| Street Address |
350 SURRYSE RD SUITE 100 |
| City | LAKE ZURICH |
| State | IL |
| Zip Code | 60047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689668964 | Jeffrey G Uhler | Family Medicine | 350 Surryse Rd, Lake Zurich, IL 60047-2313 | 2005-09-01 |
| 1942689260 | Robyn Helkowski | Nurse Practitioner | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2015-05-19 |
| 1023380524 | Allz Family Practice Physicians, Sc | Family Medicine | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2012-01-31 |
| 1720398100 | Kristine Elizabeth Burgess | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2010-10-19 |
| 1821319591 | Fahad Karim Mustafa | Family Medicine | 350 Surryse Rd, Lake Zurich, IL 60047-3217 | 2010-06-17 |
| 1700034865 | Jennie Lynn Ostrander | Speech-Language Pathologist | 350 Surryse Rd, Suite 250, Lake Zurich, IL 60047-3217 | 2008-09-03 |
| 1629243183 | Global Care Sc | Hospitalist | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2008-04-25 |
| 1619155850 | Kellie L Truppa | Occupational Therapist | 350 Surryse Rd, Suite 250, Lake Zurich, IL 60047-3217 | 2008-02-08 |
| 1265628275 | Courtney Ann Kelly | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2007-09-24 |
| 1659590552 | Joyce Wood | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1598971517 | Stewart B. Segal, Md, Sc | Family Medicine | 504 S Rand Rd, Lake Zurich, IL 60047-2357 | 2007-05-15 |
| 1114916558 | Raymond Samuel Bianchi | Family Medicine | 290 N Rand Rd, Suite A, Lake Zurich, IL 60047-2213 | 2005-10-18 |
| 1689668964 | Jeffrey G Uhler | Family Medicine | 350 Surryse Rd, Lake Zurich, IL 60047-2313 | 2005-09-01 |
| 1881696789 | Stewart Barry Segal | Family Medicine | 235 S Rand Rd, Lake Zurich, IL 60047 | 2005-08-11 |
| 1023380524 | Allz Family Practice Physicians, Sc | Family Medicine | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2012-01-31 |
| 1821319591 | Fahad Karim Mustafa | Family Medicine | 350 Surryse Rd, Lake Zurich, IL 60047-3217 | 2010-06-17 |
| 1023237807 | Advanced Medical Care Ltd | Family Medicine | 290 N Rand Rd, Suite A, Lake Zurich, IL 60047-2213 | 2007-04-24 |
| 1326073313 | Global Care, Sc | Family Medicine | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-2313 | 2006-07-11 |
| 1932193216 | Robert W Trauscht | Family Medicine | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-2313 | 2005-09-01 |
| Find all providers in LAKE ZURICH | ||||
| City | LAKE ZURICH |
| Zip Code | 60047 |
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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.