MOHAMMED ISLAM (NPI# 1699792234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699792234 |
| Entity Type | Individual |
| Full Name | MOHAMMED ISLAM |
| Credential | M.D. |
| Practice Address |
751 Sappington Bridge Rd Sullivan MO 63080-2354 |
| Mailing Address |
75 Remitt Drive Lockbox 1964 Chicago IL 60675-1964 |
| Practice Telephone | 5734684186 |
| Mailing Telephone | 8669165259 |
| Mailing Fax Number | 2319224060 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 33113 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203230933 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174094734 | Mohammed Shafayetul Islam | Dentist | 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 | 2018-12-07 |
| 1407179831 | Mohammed Aminul Islam | Pharmacist | 7 Shetland Cir, Highland Mills, NY 10930-8303 | 2010-03-12 |
| 1346479953 | Mohammed F Islam | Registered Nurse | 4308 40th St, 6d, Sunnyside, NY 11104-3830 | 2009-07-06 |
| 1942460670 | Mohammed Mominul Islam | Internal Medicine | 526 Pacific Ave, Apartment Number 407, Atlantic City, NJ 08401-7662 | 2008-06-16 |
| 1891896551 | Mohammed S Islam | Pharmacist | 72 Storey Ln, Yonkers, NY 10710-4412 | 2006-09-26 |
| 1558472977 | Mohammed Nazrul Islam | Psychiatry & Neurology | 243 Pine St, Mount Holly, NJ 08060-2201 | 2006-08-31 |
| 1114938461 | Mohammed Islam | Internal Medicine | Rbmc 530 New Brunswick Ave, Dept of Internal Medicine, Perth Amboy, NJ 08861 | 2006-08-11 |
| 1669415386 | Mohammed Shahidul Islam | Psychiatry & Neurology | 2014 Charlotte Avenue, Nashville, TN 37203 | 2006-06-13 |
| 1245205012 | Mohammed Qamrul Islam | Neuromusculoskeletal Medicine & OMM | 40-27, 74th Street, Elmhurst, NY 11040-2505 | 2006-02-23 |
| 1992322101 | Mohammed Shahidul Islam | Internal Medicine | 9131 175th St, Jamaica, NY 11432-5517 | 2020-07-03 |
| Street Address |
751 SAPPINGTON BRIDGE RD |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679598247 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-07-13 |
| 1528676475 | Missouri Baptist Hospital of Sullivan | Clinical Medical Laboratory | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2020-07-16 |
| 1942841390 | Katherine M Jasper | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2019-10-07 |
| 1477034437 | Lisa Ann Nelson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2018-08-27 |
| 1831613074 | Margaret Lacuesta | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2017-07-31 |
| 1891246617 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 751 Sappington Bridge Rd, Administration, Sullivan, MO 63080-2354 | 2016-10-17 |
| 1558729905 | Kelly Hinson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2016-01-31 |
| 1881059202 | Megan Turnbough | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-12-30 |
| 1679941546 | Courtney Dulworth | Registered Nurse | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-09-09 |
| 1083019020 | Cinnamon Dale Michalik | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2014-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255738985 | Indiana Emergency Physicians, LLP | Emergency Medicine | 325 W Northwood Dr, Sullivan, IN 47882-7515 | 2014-11-24 |
| 1588757421 | Keshava G Reddy | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-10-02 |
| 1710070651 | David L Moser | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-10-02 |
| 1760575617 | Alfred R Talens | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-10-02 |
| 1710084595 | Florante Repaso | Emergency Medicine | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-09-20 |
| 1467483826 | Myung S Lee | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-07-05 |
| 1720026826 | Hoosier Emergency Physicians LLC | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
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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.