A.M. FAHEEM, M.D., P.S.C. (NPI# 1932266947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932266947 |
| Entity Type | Organization |
| Organization Name | A.M. FAHEEM, M.D., P.S.C. |
| Practice Address |
914 N Dixie Ave Suite 302 Elizabethtown KY 42701-2520 |
| Practice Telephone | 2707690892 |
| Practice Fax Number | 2707691857 |
| Mailing Telephone | 2707690892 |
| Mailing Fax Number | 2707691857 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. AMJAD M FAHEEM (PRESIDENT) |
| Authorized Official Telephone | 2707690892 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65937476 | 05 | |
| KY | 65937492 | 05 | |
| KY | ELIZABETHTOWN OFFICE PP# | 1055519 | 01 |
| KY | RADCLIFF PASSPORT # | 1055553 | 01 |
| KY | HODGENVILLE OFFICE PASS# | 1055554 | 01 |
| KY | 65937468 | 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 |
| 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 |
| 1811004542 | Amjad Mohammed Faheem | Internal Medicine | 914 N Dixie Ave, Suite 302, Elizabethtown, KY 42701-2520 | 2006-08-25 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043678634 | Shayla Jessup Yancey | Specialist | 207 C S Poplar St, Elizabethtown, NC 28337 | 2016-02-10 |
| 1699144097 | Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works Elizabethtow | Specialist | 102 Diecks Dr, Elizabethtown, KY 42701-2443 | 2015-09-16 |
| 1114176682 | Mohammad K Gayasaddin | Specialist | 914 N Dixie Ave Ste 301, Elizabethtown, KY 42701-2515 | 2008-09-09 |
| 1295997583 | Betsy J Beach | Specialist | 122 Peachtree St, Elizabethtown, KY 42701-1650 | 2008-06-27 |
| 1568517886 | Joseph B Oropilla, M.d., Psc | Specialist | 914 N Dixie Ave Ste 101, Elizabethtown, KY 42701-2536 | 2007-01-25 |
| 1073677746 | Advocacy & Support Center | Specialist | 890 Rineyville Rd, Elizabethtown, KY 42701-8927 | 2006-12-20 |
| 1962591743 | Javier Julio Arce | Specialist | 914 N Dixie, Suite 203, Elizabethtown, KY 42701 | 2006-10-12 |
| 1043224751 | Teresa Dao | Specialist | 1234 Woodland Dr, Elizabethtown, KY 42701-2767 | 2006-07-28 |
| 1740204353 | Ha Thanh Le Md Psc | Specialist | 914 N Dixie Ave Ste 100, Elizabethtown, KY 42701-2536 | 2006-07-27 |
| 1700831781 | Elisa Boma Garcia | Specialist | 1237 Woodland Dr, Elizabethtown, KY 42701-2709 | 2006-05-24 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on A.M. FAHEEM, M.D., P.S.C..
| 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.