MUJIB RAHMAN MD MEDICAL CLINIC (NPI# 1740605278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740605278 |
| Entity Type | Organization |
| Organization Name | MUJIB RAHMAN MD MEDICAL CLINIC |
| Practice Address |
911 Gorman Ave Suite 303 Elkins WV 26241-3082 |
| Mailing Address |
110 Valley Ct Elkins WV 26241-9201 |
| Practice Telephone | 8002947001 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | MUHAMMAD MUJIBUR RAHMAN (MD/OWNER) |
| Authorized Official Telephone | 3047045955 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 21335 | WV | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MUJIB RAHMAN MD MEDICAL CLINIC LLC | 1606 Avalon Creek Blvd, Vienna, WV 44473 |
| Street Address |
911 GORMAN AVE SUITE 303 |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748026 | Robert R. Baird | Specialist | 911 Gorman Ave, Ste 103, Elkins, WV 26241-3154 | 2005-05-27 |
| 1265976146 | Christie Lee Brown | Nurse Practitioner | 911 Gorman Ave, Suite 201, Elkins, WV 26241-3082 | 2016-12-12 |
| 1275974008 | Central Wv Medcorp, Inc | Nurse Practitioner | 911 Gorman Ave, Suite 201, Elkins, WV 26241-3082 | 2013-07-09 |
| 1487858775 | Jenny Lynn Cross | Otolaryngology | 911 Gorman Ave, Suite 2, Elkins, WV 26241-3082 | 2007-06-12 |
| 1710081864 | Ronald Alan Mudry Jr. | Internal Medicine | 911 Gorman Ave, Suite 201, Elkins, WV 26241-3082 | 2006-09-11 |
| 1639180953 | Robert A Rose | Surgery | 911 Gorman Ave, Suite 203, Elkins, WV 26241-3154 | 2006-08-11 |
| 1770539447 | Mary S Boyd | Pediatrics | 911 Gorman Ave, Ste 302, Elkins, WV 26241 | 2006-05-25 |
| 1477511152 | Buchanan Merryman Dugan | Surgery | 911 Gorman Ave, Ste 103, Elkins, WV 26241 | 2006-05-03 |
| 1275536906 | John M. Dibacco | Specialist | 911 Gorman Ave, Ste 103, Elkins, WV 26241-3154 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1871899112 | Curtis Lee Withrow Sr. | Neurological Surgery | 1501 Barberry Ln, Charleston, WV 25314-1901 | 2011-02-03 |
| 1760674733 | Derek Dana Courtney | Neurological Surgery | Robert C Byrd Health Sciences Center, Wvu Hospital Dept. of Neurosurgery, Morgantown, WV 26506-9183 | 2007-08-14 |
| 1538364914 | Vincent J Miele | Neurological Surgery | 527 Medical Park Drive, Suite 401, Uhc Neurosurgery & Spine Center, Bridgeport, WV 26300 | 2007-06-18 |
| 1861413536 | Mark Robert Lee | Neurological Surgery | 40 Medical Park Ste 508, Wheeling, WV 26003 | 2006-07-21 |
| 1033140066 | Abed Koja | Neurological Surgery | 504 Cherry St, Building D, Bluefield, WV 24701-3306 | 2006-07-06 |
| 1043278450 | Richard A. Coulon | Neurological Surgery | 1600 Medical Center Dr., Suite G-500, Huntington, WV 25701-3656 | 2006-05-03 |
| 1790764850 | Bill D. Underwood | Neurological Surgery | 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 | 2006-01-17 |
| 1710961669 | Richard Allen Douglas | Neurological Surgery | 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 | 2005-12-05 |
| 1588659270 | Jeffrey Alan Greenberg | Neurological Surgery | 114 Undercliff Ter, Princeton, WV 24740-2174 | 2005-09-19 |
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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.