AMTUL R AHMAD MD SC (NPI# 1467544346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467544346 |
| Entity Type | Organization |
| Organization Name | AMTUL R AHMAD MD SC |
| Other Organization Name | AMTUL R AHMAD MD SC |
| Practice Address |
3601 30th Ave Suite #101 Kenosha WI 53144-1695 |
| Practice Telephone | 2625640611 |
| Practice Fax Number | 2625640601 |
| Mailing Telephone | 2625640611 |
| Mailing Fax Number | 2625640601 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DR. AMTUL REHMAN AHMAD (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2625640611 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 40006020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BA3947477 | 01 | |
| WI | 32466300 | 05 |
| Other Name | Type Code |
|---|---|
| Amtul R Ahmad MD SC | Doing Business As Name - Organization |
| Street Address |
3601 30TH AVE SUITE #101 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493635 | Mary Jamie Cairo | Nurse Practitioner | 3601 30th Ave, Ste 203, Kenosha, WI 53144-1695 | 2005-11-02 |
| 1902341548 | Blossom Chiropractic and Natural Medicine | Chiropractor | 3601 30th Ave, Suite 101, Kenosha, WI 53144-1695 | 2017-01-05 |
| 1548716533 | Forefront Dermatology, S.c. | Dermatology | 3601 30th Ave, Suite 201, Kenosha, WI 53144 | 2016-08-30 |
| 1578961181 | Mary C Girsh-jensen | Counselor | 3601 30th Ave, Suite 102, Kenosha, WI 53144-1695 | 2014-12-12 |
| 1972938173 | Jennifer M Rolfing | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2013-09-06 |
| 1396186045 | Chad T Mikesell | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2013-07-10 |
| 1447500814 | Jena Lynn Delisle | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2012-09-13 |
| 1801151212 | Jenna M Sherman | Specialist/Technologist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2012-07-11 |
| 1003184003 | Lindsay B. Nehls | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2011-12-05 |
| 1104151406 | Karen Beth Wahlgren | Occupational Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2009-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1992125041 | Landon Blair Krantz | Pediatrics | 8600 75th St Ste 101, Kenosha, WI 53142-8200 | 2014-04-16 |
| 1326033671 | Jaya V Iyer | Pediatrics | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2005-09-13 |
| 1174527550 | Sheryn Abraham | Pediatrics | 8600 75th St, Ste 101, Kenosha, WI 53142-8200 | 2005-06-13 |
| 1649519299 | Children's Hospital of Wisconsin | Pediatrics | 8500 75th St, Kenosha, WI 53142-8213 | 2013-02-01 |
| 1952567547 | Umair Sharih | Pediatrics | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2008-08-03 |
| 1740455096 | Children's Medical Group | Pediatrics | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2008-04-28 |
| 1427223783 | Children's Medical Group | Pediatrics | 8600 75th St, Suite 101, Kenosha, WI 53142-8200 | 2008-04-28 |
| 1508076555 | Jesika Shah | Pediatrics | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2007-05-22 |
| 1649397498 | Jennifer Margaret Nelson | Pediatrics | 10400 75th St, Pediatrics, Kenosha, WI 53142-7884 | 2007-03-26 |
| Find all providers in KENOSHA | ||||
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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.