WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC (NPI# 1992312862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992312862 |
| Entity Type | Organization |
| Organization Name | WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC |
| Practice Address |
1220 Missouri Ave Jeffersonville IN 47130-3725 |
| Mailing Address |
Po Box 116 Carrollton KY 41008-0116 |
| Practice Telephone | 5025254376 |
| Practice Fax Number | 4403323844 |
| Mailing Telephone | 8593933124 |
| Mailing Fax Number | 4403323844 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | MUHAMMAD MASROOR (DIRECTOR/OWNER) |
| Authorized Official Telephone | 5025008809 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1220 MISSOURI AVE |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134186315 | Rhn Clark Memorial Hospital LLC | General Acute Care Hospital | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2006-04-29 |
| 1700400181 | Jonathan Foushee | Pharmacist | 1220 Missouri Ave, Jeffersonville, IN 47130-3743 | 2020-06-02 |
| 1649809054 | Jazz Ayotte | Physician Assistant | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2020-04-07 |
| 1659912434 | Jane Alice Moore | Physician Assistant | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2019-10-03 |
| 1265082697 | Shem Carlo Banda | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2019-09-17 |
| 1942775879 | Emergency Medicine Physicians Associates PC | Physician Assistant | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2018-10-08 |
| 1316397235 | Sara Elizabeth Harris | Pharmacist | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2016-06-22 |
| 1528420304 | Ryan King | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2016-03-22 |
| 1821482084 | Scott Mcclain | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130 | 2015-03-26 |
| 1730573387 | James Allen Stone Jr. | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130 | 2015-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| 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 |
|---|---|---|---|---|
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1417249970 | Faraaz A. Rahman | Internal Medicine | 207 Sparks Ave Ste 100, Jeffersonville, IN 47130-3739 | 2011-05-03 |
| 1225200462 | Phonesavane Lianekhammy | Internal Medicine | 3118 East 10th Street, Norton Community Medical Associates, Jeffersonville, IN 47130 | 2008-03-27 |
| 1447386651 | Farheen Jamil Hasnain | Internal Medicine | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 | 2007-02-24 |
| 1992805493 | Christopher Shawn Hofelich | Internal Medicine | 41 Quatermaster Ct., Jeffersonville, IN 47130-3623 | 2006-09-24 |
| 1952334252 | Wall Street Internal Medicine | Internal Medicine | 73 Quarter Master Crt, Jeffersonville, IN 47130-3759 | 2006-07-09 |
| 1427087543 | John M Dunn | Internal Medicine | 22 Old Main Street, Jeffersonville, VT 05464-0157 | 2006-07-01 |
| 1417909458 | Lloyd C Trommler | Internal Medicine | 1806 E 10th St, Jeffersonville, IN 47130-6016 | 2006-05-17 |
| 1821053851 | David A Dues | Internal Medicine | 3118 E 10th St Ste A, Jeffersonville, IN 47130-5904 | 2006-04-20 |
| 1487619888 | Syed Q Kazmi | Internal Medicine | 1035 Wall St Ste 104-c1, Jeffersonville, IN 47130-3602 | 2006-04-19 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC.
| 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.