AMJAD MOHAMMED FAHEEM (NPI# 1811004542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811004542 |
| Entity Type | Individual |
| Full Name | AMJAD MOHAMMED FAHEEM |
| Other Name | AMJAD MOHAMMED FAHEEMUDDIN |
| Credential | M.D. |
| Practice Address |
914 N Dixie Ave Suite 302 Elizabethtown KY 42701-2520 |
| Mailing Address |
800 W Lincoln Trail Blvd Ste 102 Radcliff KY 40160-2671 |
| Practice Telephone | 2707690892 |
| Practice Fax Number | 2707691857 |
| Mailing Telephone | 2707690892 |
| Mailing Fax Number | 2707691857 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25792 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | HV ANTHEM PROV # | 000000041593 | 01 |
| KY | RCLIFF PP OFFICE # | 1055553 | 01 |
| KY | ELIZABETHTOWN PROV # | 1055555 | 01 |
| KY | 65937476 | 05 | |
| KY | 65937492 | 05 | |
| KY | HODGENVILLE PROV # | 1055556 | 01 |
| KY | MAIL HANDLERS ET # | 1354160 | 01 |
| KY | AETNA PROVIDER # | 4359912 | 01 |
| KY | ANTHEM PROVIDER # | 000000041595 | 01 |
| KY | HVILLE PP OFFICE # | 1055554 | 01 |
| KY | RADCLIFF PP PROV # | 1055557 | 01 |
| KY | ETOWN OFFICE PP # | 1055519 | 01 |
| KY | BLACK LUNG PROV # | 108814 | 01 |
| KY | 65937468 | 05 | |
| KY | RC ANTHEM PROV # | 00000041594 | 01 |
| KY | 64257926 | 05 |
| Street Address |
914 N DIXIE AVE SUITE 302 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038086 | Kelly R Richardson | Physician Assistant | 914 N Dixie Ave, Suite 304, Elizabethtown, KY 42701-2520 | 2005-07-22 |
| 1295010833 | Etown Infusion Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 914 N Dixie Ave, Suite 101, Elizabethtown, KY 42701-2520 | 2011-10-14 |
| 1184894461 | Sleep Management, LLC | Durable Medical Equipment & Medical Supplies | 914 N Dixie Ave, Ste 106, Elizabethtown, KY 42701-2520 | 2008-03-03 |
| 1043423429 | Heartland Patient Care, Pllc | Internal Medicine | 914 N Dixie Ave, Suite 302, Elizabethtown, KY 42701-2520 | 2007-05-08 |
| 1215149273 | Heartland Internal Medicine Pllc. | Internal Medicine | 914 N Dixie Ave, Elizabethtown, KY 42701-2520 | 2007-05-04 |
| 1912037383 | Ordie L Day II | Dentist | 914 N Dixie Ave, Suite 207, Elizabethtown, KY 42701-2520 | 2007-03-06 |
| 1932266947 | A.m. Faheem, M.d., P.s.c. | Specialist | 914 N Dixie Ave, Suite 302, Elizabethtown, KY 42701-2520 | 2007-01-02 |
| 1467520098 | Javier J Arce Md Psc | Spec/Tech, Cardiovascular | 914 N Dixie Ave, Suite 203, Elizabethtown, KY 42701-2520 | 2006-12-01 |
| 1235217928 | Dr. Elizabeth D. Sebree Md Psc | Obstetrics & Gynecology | 914 N Dixie Ave, Suite 208, Elizabethtown, KY 42701-2520 | 2006-11-01 |
| 1144327339 | Henry H. Bunch | Dentist | 914 N Dixie Ave, Suite 200, Elizabethtown, KY 42701-2520 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1013253756 | Raza Malik, Md, Inc. | Internal Medicine | 1528 Yorkshire Dr, Elizabethtown, KY 42701-9191 | 2012-12-28 |
| 1205128717 | Kidney Specialist of Kentucky Pllc | Internal Medicine | 105 Financial Drive, Suite 105, Elizabethtown, KY 42701-8437 | 2011-05-03 |
| 1518143577 | Brandon Lyle Houk | Internal Medicine | 2413 Ring Rd, Ste 122, Elizabethtown, KY 42701-5936 | 2008-01-21 |
| 1588871941 | William R. Handley | Internal Medicine | 114 E Memorial Dr, Elizabethtown, KY 42701-2502 | 2007-05-16 |
| 1619049194 | Melissa Falk Stephens | Internal Medicine | 4748 E Harrisburg Pike, Elizabethtown, PA 17022-9004 | 2006-11-14 |
| 1457469165 | Bladen Medical Associates | Internal Medicine | 300 E Mckay St, Suite A, Elizabethtown, NC 28337-0517 | 2006-08-25 |
| 1154436012 | Bladen Healthcare LLC | Internal Medicine | 507 Doctor's Drive, Elizabethtown, NC 28337 | 2006-08-20 |
| 1538114855 | Charles E Moisan Jr. | Internal Medicine | 74 Park St, Elizabethtown, NY 12932-2303 | 2006-05-24 |
| 1255314407 | Syed Zulfiqar Ahmed | Internal Medicine | 1009 N Dixie, Elizabethtown, KY 42701 | 2005-11-22 |
| 1386635670 | Brian Eklund | Internal Medicine | 914 North Dixie, Suite 304, Elizabethtown, KY 42701 | 2005-11-04 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.