DR. RONNIE A MOHAMMED (NPI# 1669463774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669463774 |
| Entity Type | Individual |
| Full Name | DR. RONNIE A MOHAMMED |
| Credential | MD |
| Practice Address |
755 Norman Drive Lebanon PA 17042-7497 |
| Practice Telephone | 7172736706 |
| Practice Fax Number | 7172731435 |
| Mailing Telephone | 7172736706 |
| Mailing Fax Number | 7172731435 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 002294 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD417333 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1021263630001 | 05 | |
| PA | CAPITAL BLUE CROSS | 50078092 | 01 |
| HIGHMARK BLS | 2054072 | 01 |
| Street Address |
755 NORMAN DRIVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942360136 | Francis J. Gallagher | Internal Medicine | 755 Norman Drive, Lebanon, PA 17042-7497 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518347608 | Mid-valley Healthcare, Inc. | Internal Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2015-06-03 |
| 1225324841 | Amanda Jean Stevens-udeze | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2011-06-22 |
| 1073832564 | Sreenija Suryadevara | Internal Medicine | 1 Medical Center Dr, Dh Endocrinology, Lebanon, NH 03756-1000 | 2010-05-23 |
| 1982921805 | Benjamin Boh | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Endocrinology, Lebanon, NH 03756-1000 | 2010-05-02 |
| 1093964850 | Susan Yuditskaya | Internal Medicine | 1 Medical Center Dr, Dhmc - Endocrinology, Lebanon, NH 03756-1000 | 2008-09-16 |
| 1528226321 | Neha Shardul Gavin | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-05-28 |
| 1194991927 | Tharsan Sivakumar | Internal Medicine | One Medical Center Drive, Lebanon, NH 03756 | 2008-05-01 |
| 1073528758 | Richard J Comi | Internal Medicine | 1 Medical Center Dr, Dhmc - Department of Endocrinology, Lebanon, NH 03756-1000 | 2006-07-30 |
| 1134143969 | John Harvery Turco | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-26 |
| 1609890359 | Paul James Beisswenger | Internal Medicine | 1 Medical Center Dr, Dhmc - Dept of Endocrinology, Lebanon, NH 03756-1000 | 2006-07-26 |
| Find all providers in LEBANON | ||||
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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.