DR. AHMAD MOHAMED JEROUDI (NPI# 1649456336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649456336 |
| Entity Type | Individual |
| Full Name | DR. AHMAD MOHAMED JEROUDI |
| Credential | MD |
| Practice Address |
5060 Crenshaw Rd Suite 200 Pasadena TX 77505-3145 |
| Practice Telephone | 8322303379 |
| Practice Fax Number | 8322303724 |
| Mailing Telephone | 8322303379 |
| Mailing Fax Number | 8322303724 |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P5822 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
P5822 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5060 CRENSHAW RD SUITE 200 |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672103 | Mohamed O Jeroudi | Internal Medicine | 5060 Crenshaw Rd, Suite 200, Pasadena, TX 77505-3145 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1912366097 | Nirp Pasadena, Pllc | Internal Medicine | 3412 Burke Rd # 100, Pasadena, TX 77504-1805 | 2016-02-17 |
| 1710395942 | W Allan Edmiston Md A Medical Corporation | Internal Medicine | 55 E California Blvd Fl 3, Pasadena, CA 91105-3944 | 2014-07-31 |
| 1932308137 | William Leonard Discepolo II | Internal Medicine | 3235 E Colorado Blvd Ste 201, Pasadena, CA 91107-3849 | 2007-07-17 |
| 1538203724 | Ramesh G. Patel | Internal Medicine | 4102 Woodlawn Ave, Ste 250, Pasadena, TX 77504-1947 | 2007-02-19 |
| 1417094665 | Mohamed O Jeroudi Md Pa | Internal Medicine | 5060 Crenshaw Road, Suite # 200, Pasadena, TX 77505-3047 | 2007-01-30 |
| 1902820491 | Premier Heart Specialists P A | Internal Medicine | 4102 Woodlawn, #110, Pasadena, TX 77504 | 2006-07-27 |
| 1922036631 | Ming Jeang | Internal Medicine | 3337 Plainview St, Suite 8, Pasadena, TX 77504-1988 | 2006-06-29 |
| 1316988215 | Anna Marie Harkins Jr. | Internal Medicine | 5010 Crenshaw Rd Ste 110, Pasadena, TX 77505-3047 | 2006-06-10 |
| 1255382545 | Foothill Cardiology Medical Group, Inc. | Internal Medicine | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | 2006-05-12 |
| Find all providers in PASADENA | ||||
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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.