DR. OTHMAN M MOHAMMAD (NPI# 1912138660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912138660 |
Entity Type | Individual |
Full Name | DR. OTHMAN M MOHAMMAD |
Credential | MD |
Practice Address |
3300 Main St Fl 4 Springfield MA 01107-1112 |
Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
Practice Telephone | 4137945555 |
Mailing Telephone | 4137945700 |
Enumeration Date | 2009-07-29 |
Last Update Date | 2019-01-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
261296 | MA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
42 Wright Street, Palmer, MA 010691156 | 4133705285 | 4133705384 |
759 Chestnut St # S5632, Springfield, MA 011071619 | 4137945555 | 4137945868 |
Street Address |
3300 MAIN ST FL 4 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811097058 | Jain A Lattes | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2006-09-25 |
1154801462 | Olivia Juliette Derella | Student in an Organized Health Care Education/Training Program | 3300 Main St Fl 4, Springfield, MA 01199-1002 | 2018-08-16 |
1023521986 | Sarah Beth Irish | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01199-1002 | 2017-11-13 |
1396905642 | Meaghan Delaney | Obstetrics & Gynecology | 3300 Main St Fl 4, Springfield, MA 01107 | 2008-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
Find all providers in zip 01107 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
1700931433 | Purificacion Geronimo-flores | Psychiatry & Neurology | Mspcc, 235 Chestnut Street, Springfield, MA 01103 | 2007-01-24 |
1073607495 | Hayley Marks Cohen | Psychiatry & Neurology | 28 Millburn Avenue, Suite 3, Springfield, NJ 07081 | 2006-10-02 |
1679841381 | Rashi Govil | Psychiatry & Neurology | 417 Liberty St, Behavioral Health Network, Inc., Springfield, MA 01104-3736 | 2011-12-08 |
1174838452 | Nasir Iqbal Ahmad | Psychiatry & Neurology | 5220 S 6th Street Rd, Suite 1200, Springfield, IL 62703-5735 | 2010-08-11 |
1235382771 | David J Wood Md Frcpc,pc | Psychiatry & Neurology | 6551 Loisdale Ct, Suite 155, Springfield, VA 22150-1828 | 2008-10-28 |
1366638553 | Dennis Elroy Reynolds | Psychiatry & Neurology | 3995 Marcola Road, Springfield, OR 97477 | 2007-09-20 |
1790982668 | Zafar Abdur Rasheed | Psychiatry & Neurology | 8348 Traford Ln, 4th Floor, Springfield, VA 22152-1663 | 2007-07-02 |
1912053877 | Nathan P Somers | Psychiatry & Neurology | 3300 Main St, Springfield, MA 01107-1112 | 2007-01-25 |
1093871261 | Baystate Medical Practices, Inc | Psychiatry & Neurology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-12-29 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01107 |
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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.