SIRAJ AHMED SIDDIQUI LLC (NPI# 1497934921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497934921 |
| Entity Type | Organization |
| Organization Name | SIRAJ AHMED SIDDIQUI LLC |
| Practice Address |
2666 Lexington Ave Lexington OH 44904 |
| Mailing Address |
Po Box 3804 Mansfield OH 44907 |
| Practice Telephone | 4198847232 |
| Practice Fax Number | 4198847683 |
| Mailing Telephone | 4196177907 |
| Mailing Fax Number | 4196177907 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | SIRAJ A SIDDIQUI (OWNER) |
| Authorized Official Telephone | 4197749993 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35065056S | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0954347 | 05 | |
| OH | ANTHEM | 000000140397 | 01 |
| Street Address |
2666 LEXINGTON AVE |
| City | LEXINGTON |
| State | OH |
| Zip Code | 44904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770961740 | Lisa D Patterson | Nurse Practitioner | 375 Lexington Avenue, Mansfield, OH 44904 | 2015-05-11 |
| 1285970871 | Carrie Ann Northover | Licensed Practical Nurse | 9288 State Route 314, Mansfield, OH 44904 | 2012-12-31 |
| 1902035413 | Charme A Carroll | Licensed Practical Nurse | 8235 St Rt 314, Lexington, OH 44904 | 2009-07-06 |
| 1851577076 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 355 East Main Street, Lexington, OH 44904 | 2008-01-17 |
| 1447462593 | Bonnie Lee Wilson | Licensed Practical Nurse | 1212 Hanley Rd W, Mansfield, OH 44904 | 2007-05-03 |
| 1245450220 | Rebecca Annette Eusey | Chore Provider | 91 West Main, Lexington, OH 44904 | 2007-05-01 |
| 1891815148 | Karen Lee Watkins | Licensed Practical Nurse | 780 W Straub Rd, Apt 1a, Mansfield, OH 44904 | 2007-03-30 |
| 1134220817 | Richard Alan Brunner | Psychologist | 35104 Euclid Av, Suite 203, Willoughby, OH 44904 | 2006-09-26 |
| 1427064518 | Cary A Craner | Chiropractor | 2754 Lexington Ave, Lexington, OH 44904 | 2006-07-31 |
| 1073570537 | Christopher E. Shewan | Optometrist | 35 Plymouth St, Lexington, OH 44904 | 2006-04-27 |
| Find all providers in zip 44904 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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|---|---|---|---|---|
| 1356970941 | Care Coordinates Inc | Internal Medicine | 136 Laconia St, Lexington, MA 02420-2252 | 2020-04-06 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| 1245728054 | Lexington Medical Group Corp | Internal Medicine | 2276 Barnwell Ln, Lexington, KY 40513-1245 | 2018-04-26 |
| 1295257921 | Oriana Fabiola Ramirez Alvarado | Internal Medicine | Uk Bluegrass Care Clinic, 740 S Limestone Ste L504, Lexington, KY 40536 | 2017-07-14 |
| 1699221291 | Kavya Sudanagunta | Internal Medicine | 800 Rose St # Hx315, Lexington, KY 40536-7001 | 2016-09-01 |
| 1003362245 | Baird Transitions Mht LLC | Internal Medicine | 317 Ruth Vista Road, Lexington, SC 29073-8628 | 2016-08-28 |
| 1003268392 | Deepali Pandey | Internal Medicine | 800 Rose St # Cc-402, Lexington, KY 40536-0293 | 2016-07-11 |
| 1952763146 | Kelsey Thompson | Internal Medicine | 740 S Limestone Third Floor Wing D Suite L305, Lexington, KY 40536-0293 | 2016-03-25 |
| 1316309859 | Priya Shankar Srivastava | Internal Medicine | Internal Medicine Pediatrics, 900 S. Limestone, Ctw 304, Lexington, KY 40536-0001 | 2016-03-23 |
| Find all providers in LEXINGTON | ||||
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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.