MANSOOR AHMAD (NPI# 1639583321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639583321 |
| Entity Type | Individual |
| Full Name | MANSOOR AHMAD |
| Credential | MD |
| Practice Address |
1313 S St Bridgeport NE 69336-2563 |
| Practice Telephone | (308) 262-1616 |
| Mailing Telephone | (308) 262-1616 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30167 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4600 Valley Road, Ste 200, Lincoln, NE 685104882 | 4024834571 | 4024835079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184014102 | Mansoor Ahmad | Internal Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2015-01-29 |
| 1194059600 | Mansoor Ahmad | Internal Medicine | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2009-09-30 |
| Street Address |
1313 S ST |
| City | BRIDGEPORT |
| State | NE |
| Zip Code | 69336-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109075 | Morrill County Community Hospital | Clinic/Center | 1313 S St, Ste A, Bridgeport, NE 69336-2563 | 2006-07-20 |
| 1437780020 | Poudre Valley Medical Group, LLC | Internal Medicine | 1313 S St, Bridgeport, NE 69336-2563 | 2020-02-01 |
| 1730720533 | Kimberly R Smith | Nurse Practitioner | 1313 S St, Bridgeport, NE 69336-2563 | 2019-10-02 |
| 1821647611 | Melody J Leisy | Nurse Practitioner | 1313 S St, Bridgeport, NE 69336-2563 | 2019-09-05 |
| 1568820900 | Amber E Malcolm | Nurse Practitioner | 1313 S St, Bridgeport, NE 69336-2563 | 2016-01-31 |
| 1639449333 | Carrie C Martinson | Specialist | 1313 S St, Bridgeport, NE 69336-0579 | 2012-01-11 |
| 1396961645 | Morrill County Community Hospital | Internal Medicine | 1313 S St, Ste A, Bridgeport, NE 69336-2563 | 2007-04-17 |
| 1740399468 | Diane E. Gilles | Orthopaedic Surgery | 1313 S St, Bridgeport, NE 69336-2563 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477608610 | Alliance Vision Source, P.C. | Optometrist | 921 Main Street, Bridgeport, NE 69336 | 2007-01-25 |
| 1497816680 | J & J Nein LLC | Pharmacy | 1012 Main St, Bridgeport, NE 69336 | 2006-12-12 |
| 1790977148 | Shawn Michael Berry | Physical Therapy Assistant | 505 Q St, Heritage of Bridgeport, Bridgeport, NE 69336-0081 | 2007-08-09 |
| 1093088155 | Amy Dawn Craig | Licensed Practical Nurse | 1014 N St, Bridgeport, NE 69336-0101 | 2012-02-20 |
| 1154433068 | James David Nein | Pharmacist | 1013 Main St, Bridgeport, NE 69336-0141 | 2006-08-31 |
| 1356420806 | Christensen Chiropractic Clinic, P.C. | Clinic/Center | 805 Main Street, Bridgeport, NE 69336-0759 | 2006-11-03 |
| 1184835183 | Sam F. Jacoby | Dentist | 1006 Main Street, Bridgeport, NE 69336-0864 | 2007-05-24 |
| 1003260126 | Lisa Lussetto | Speech-Language Pathologist | 800 Q St, Bridgeport, NE 69336-2519 | 2016-04-14 |
| 1114572377 | Brittany Beth Norman | Registered Nurse | 800 Q St, Bridgeport, NE 69336-2519 | 2019-08-05 |
| 1356821276 | Sarah Nicole Brenner | Physical Therapist | 800 Q St, Bridgeport, NE 69336-2519 | 2018-08-20 |
| Find all providers in zip 69336 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158287 | Rejuvenation Medspa | Family Medicine | 1400 Johnson Ave Ste 4a, Bridgeport, WV 26330-1063 | 2019-01-17 |
| 1497244321 | Sanitas of Connecticut LLC | Family Medicine | 4551 Main St, Bridgeport, CT 06606-1818 | 2018-05-07 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1013395755 | Clinisanitas, PC | Family Medicine | 4543 Main St, Bridgeport, CT 06606-1818 | 2015-05-14 |
| 1982941431 | Razia Sultana Hashmi | Family Medicine | 115 Highland Ave, Bridgeport, CT 06604-3549 | 2013-01-03 |
| 1508025594 | Awais Malik | Family Medicine | 754 Clinton Ave, Bridgeport, CT 06604-2301 | 2008-06-04 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1942341060 | Zijad Sabovic | Family Medicine | 3000 Park Ave, Bridgeport, CT 06604-1105 | 2007-02-09 |
| 1538207295 | Bridgeport Family Health LLC | Family Medicine | 1381 Reservoir Avenue, Bridgeport, CT 06606-2502 | 2007-02-02 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 69336 |
Please comment or provide details below to improve the information on MANSOOR AHMAD.
| 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.