DR. MOHAMMAD JAMAL UDDIN ANSARI (NPI# 1457866519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457866519 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD JAMAL UDDIN ANSARI |
| Credential | MD |
| Practice Address |
751 N Rutledge St Ste 400 Springfield IL 62702 |
| Mailing Address |
751 N Rutledge St Ste 400 Springfield IL 62702-4968 |
| Practice Telephone | 2175450166 |
| Mailing Telephone | 2175450166 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036145361 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FA7487982 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 New Brunswick Ave, Perth Amboy, NJ 088613654 | 7323245080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909661 | Mohammad Naseem Ansari | Pharmacist | 70 Mellow Ln, Westbury, NY 11590-6333 | 2010-08-17 |
| 1003916628 | Mohammad Ansari | Surgery | 1335 Route 44, Pleasant Valley, NY 12569-7825 | 2006-09-24 |
| 1891226114 | Mohammad Humza Ansari | Internal Medicine | 1653 W Congress Pkwy, Chicago, IL 60612 | 2017-03-27 |
| 1902257405 | Mohammad S Ansari | Internal Medicine | 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2016-06-26 |
| 1073762084 | Mohammad Mehdi Ansari | Internal Medicine | 3601 4th St, Lubbock, TX 79430-3821 | 2008-09-15 |
| 1891874863 | Mohammad A. Ansari | Psychiatry & Neurology | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2006-11-02 |
| 1164520581 | Mohammad Ali Ansari | Internal Medicine | 6310 San Vicente Blvd, Suite 280, Los Angeles, CA 90048-5426 | 2006-09-20 |
| 1821047044 | Mohammad Tariq Ansari | Internal Medicine | 200 Patewood Dr, Suite B480, Greenville, SC 29615-3593 | 2006-05-06 |
| 1578528428 | Mohammad T Ansari | Internal Medicine | 5606 W Norvell Bryant Hwy, Crystal River, FL 34429-7572 | 2006-04-20 |
| 1891754925 | Mohammad Qasim Ansari | Pathology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-18 |
| Street Address |
751 N RUTLEDGE ST STE 400 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| 1588993430 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 620 N. Walnut St., Springfield, IL 62702 | 2009-12-23 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710243621 | Michele A Gortakowski | Internal Medicine | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2012-04-04 |
| 1538319447 | Joy Debbie Sudler | Internal Medicine | 28 Cottage Ln, Springfield, NJ 07081-2303 | 2008-09-27 |
| 1295714657 | Catherine M Hegarty | Internal Medicine | 2150 Main Street, Springfield, MA 01104 | 2006-01-13 |
| 1174510978 | Marina K Russo | Internal Medicine | 1118 Legacy Pointe Dr, Springfield, IL 62711 | 2005-10-05 |
| 1124023726 | Linda R. Macgorman | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2005-06-20 |
| 1871948414 | Prospect Health Access Network, Inc. | Internal Medicine | 190 W Sproul Rd, Suite 102, Springfield, PA 19064-2027 | 2016-05-02 |
| 1467894527 | Sanober Parveen | Internal Medicine | 751 N Rutledge St Ste 1700, Springfield, IL 62702-4968 | 2013-07-17 |
| 1811338841 | Mariam Murtaza Ali | Internal Medicine | 751 N Rutledge St Ste 1700, Springfield, IL 62702-4968 | 2013-07-05 |
| 1316382823 | Cecilia A Davis | Internal Medicine | 3300 Main Street, Springfield, MA 01107-1112 | 2013-05-10 |
| 1821337627 | New England Endocrine and Thyroid Center, PC | Internal Medicine | 299 Carew St, Suite 323, Springfield, MA 01104-2301 | 2013-02-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on DR. MOHAMMAD JAMAL UDDIN ANSARI.
| 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.