MR. FUAD SHIHAB AHMAD (NPI# 1871602896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871602896 |
| Entity Type | Individual |
| Full Name | MR. FUAD SHIHAB AHMAD |
| Credential | APNP |
| Practice Address |
6430 Greenbay Rd Suite 104 Kenosha WI 53142-2948 |
| Mailing Address |
4155 N Lake Dr Shorewood WI 53211-1721 |
| Practice Telephone | 2629250535 |
| Practice Fax Number | 2629250538 |
| Mailing Telephone | 4149626016 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2898 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093734667 | Fuad R Ahmad | Internal Medicine | 701 Grove Rd Fl 5, Greenville, SC 29605-4210 | 2006-07-18 |
| 1750350120 | Fuad Ahmad | Internal Medicine | 191 Hamburg Tpke, Suite 2, Pompton Lakes, NJ 07442-2330 | 2006-03-16 |
| Street Address |
6430 GREENBAY RD SUITE 104 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306027891 | Imelda N Forsberg | Nurse Practitioner | 6430 Greenbay Rd, Suite 104, Kenosha, WI 53142-2948 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772702 | Ashley Zimmerman | Nurse Practitioner | W316s2978 Short Rd, Waukesha, WI 53188-9120 | 2020-08-27 |
| 1073141495 | Judith Hummel | Nurse Practitioner | 18125 Prairie Falcon Ln, Brookfield, WI 53045-6316 | 2020-03-31 |
| 1982258828 | Amanda Nesta | Nurse Practitioner | 1812 E Howard Ave, Milwaukee, WI 53207-4000 | 2019-07-29 |
| 1720591035 | Kelyn Marie Levy | Nurse Practitioner | 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 | 2017-11-08 |
| 1376087775 | Connie Endvick | Nurse Practitioner | 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401-4123 | 2016-12-05 |
| 1538545728 | Katherine Lee Alvarez | Nurse Practitioner | 3200 Pleasat Valley Road, West Bend, WI 53095-9274 | 2015-08-11 |
| 1821475120 | Amin Namazi | Nurse Practitioner | 725 American Ave., Prohealth Care Waukesha Memorial Hospital, Waukesha, WI 53188-5099 | 2015-05-06 |
| 1356775183 | Urvil M Patel | Nurse Practitioner | 4025 N 92 St., Wauwatosa, WI 53222 | 2013-08-28 |
| 1295008399 | Amanda Fischer | Nurse Practitioner | 2435 Sumac Dr, Racine, WI 53402-1487 | 2012-02-21 |
| 1801124904 | Jennifer Ottelien | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 | 2009-12-01 |
| Find all providers with the same taxonomy | ||||
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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.