DR. MAHMOUD AHMAD MUSTAFA (NPI# 1639267651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639267651 |
| Entity Type | Individual |
| Full Name | DR. MAHMOUD AHMAD MUSTAFA |
| Credential | MD, FAAP |
| Practice Address |
1409 Pennsylvania Ave Hagerstown MD 21742-3109 |
| Practice Telephone | 3017974060 |
| Practice Fax Number | 3017974197 |
| Mailing Telephone | 3017974060 |
| Mailing Fax Number | 3017974197 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0061762 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 406134900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437118197 | Mahmoud H. Mustafa | Internal Medicine | 2311 M St Nw, Suite 401, Washington, DC 20037-1445 | 2006-03-21 |
| Street Address |
1409 PENNSYLVANIA AVE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033498589 | First Choice Pediatrics Inc | Pediatrics | 1409 Pennsylvania Ave, Hagerstown, MD 21742-3109 | 2011-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| 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 |
|---|---|---|---|---|
| 1023403045 | Amrutha Elizabeth Mathew | Pediatrics | 1141 Opal Ct, Hagerstown, MD 21740-5976 | 2015-04-06 |
| 1083796452 | Chukwuemeka Obidi | Pediatrics | 303 Memorial Blvd W, Hagerstown, MD 21740 | 2006-10-19 |
| 1366467441 | Mohammad Tariq | Pediatrics | 334 Mill St, Hagerstown, MD 21740-6138 | 2006-07-12 |
| 1558333815 | Zia U Uddin | Pediatrics | 251 East Antietam Street, Special Care Nursery Washington County Hospital, Hagerstown, MD 21740-4070 | 2006-02-02 |
| 1154307577 | Clinic for Children, P.a. | Pediatrics | 330 Mill St, Hagerstown, MD 21740-6138 | 2005-12-17 |
| 1003808254 | Albert John Strauss Jr. | Pediatrics | 319 E Antietam St, Hagerstown, MD 21740 | 2005-08-15 |
| 1356344139 | Kristina Alma Athey | Pediatrics | 1161 Omega Dr, Ste 100, Hagerstown, MD 21740-5574 | 2005-05-24 |
| 1912389289 | Nora Katerji | Pediatrics | 1161 Omega Dr, Hagerstown, MD 21740 | 2015-06-23 |
| 1912385477 | Pooja Miriam Werner | Pediatrics | 1141 Opal Ct, Hagerstown, MD 21740-5976 | 2015-05-15 |
| 1962841890 | Danielle Lashawne Reynolds | Pediatrics | 1161 Omega Dr, Hagerstown, MD 21740-5574 | 2013-06-25 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.