MR. SHAMAS MOHEYUDDIN (NPI# 1619942596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619942596 |
Entity Type | Individual |
Full Name | MR. SHAMAS MOHEYUDDIN |
Credential | M.D. |
Practice Address |
3120 Professional Dr Ann Arbor MI 48104-5131 |
Practice Telephone | 7346776000 |
Practice Fax Number | 7346772422 |
Mailing Telephone | 7346776000 |
Mailing Fax Number | 7346772422 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2013-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301085148 | MI | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4301085148 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4758007 | 05 |
Street Address |
3120 PROFESSIONAL DR |
City | ANN ARBOR |
State | MI |
Zip Code | 48104-5131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063490456 | Jeanne Josey | Nurse Practitioner | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-01-05 |
1205245909 | Andrea Sherman | Physical Therapist | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2014-08-06 |
1346683869 | Shathabish Kariyanna | Family Medicine | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2013-04-15 |
1265777031 | Tammie Bodner | Social Worker | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2012-12-05 |
1992923148 | Robert Hamel | Physician Assistant | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2007-04-23 |
1821172644 | Lisa B Ensfield | Psychologist | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-10-25 |
1376638528 | Michigan Headache & Neurological Institute PC | Psychologist | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-10-04 |
1386737419 | Alicia Rymut Prestegaard | Psychiatry & Neurology | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-10-02 |
1407949381 | Barbaranne Branca | Clinical Neuropsychologist | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-10-02 |
1609969591 | Jeffrey D Pingel | Psychologist | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-10-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
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Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457733008 | John Sung Ha | Anesthesiology | 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 | 2015-06-19 |
1033521356 | Tyler Goetz | Anesthesiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-21 |
1114158722 | Sharad B Patel | Anesthesiology | 2900 Golfside Dr, Suite-2, Ann Arbor, MI 48108-1410 | 2009-07-30 |
1174759930 | Peter Stiles | Anesthesiology | 1500 E Medical Center Dr, 1h247, Ann Arbor, MI 48109-5000 | 2009-06-08 |
1437257557 | Michigan Pain Institute, Pllc | Anesthesiology | 2006 Hogback Rd, Suite 5, Ann Arbor, MI 48105-9750 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629568811 | Flint Pain Specialists Pllc | Anesthesiology | 1345 Willowdale Ct Ste B, Flint, MI 48532-4737 | 2018-05-14 |
1548624984 | Ayman Tarabishy Md Pllc | Anesthesiology | 400 Plymouth Rd, F2, Plymouth, MI 48170-1482 | 2016-04-12 |
1841603362 | Clinton Pain and Anesthesia Plc | Anesthesiology | 16100 19 Mile Road, Clinton Township, MI 48038 | 2014-06-03 |
1255743738 | Advanced Pain Specialists | Anesthesiology | 18100 Oakwood Blvd Ste 203, Dearborn, MI 48124-4085 | 2014-06-02 |
1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
1265876403 | Medical Business Consultants, Ltd. | Anesthesiology | 63474 Zabel Shores Rd, Sturgis, MI 49091-9371 | 2013-04-18 |
1407198807 | Kevin M. Nemeth | Anesthesiology | 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | 2013-03-23 |
1891054573 | Eduardo Icaza | Anesthesiology | 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900 | 2012-05-15 |
1972884724 | Martin Ilan Noveck | Anesthesiology | 9255 Allen Rd, Clarkston, MI 48348-2726 | 2011-09-07 |
1831491851 | Ana Pain Management PC | Anesthesiology | 42645 Garfield Rd Ste 103, Clinton Township, MI 48038-5022 | 2010-11-23 |
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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.