Ahmed Farouk Mohammed (NPI# 1407231178, PAC ID# 1557619913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1407231178 |
| PAC ID by PECOS | 1557619913 |
| Professional Enrollment ID | I20180801004049 |
| Full Name | Ahmed Farouk Mohammed |
| Organization Legal Name | ST CLARE MEMORIAL HOSPITAL INC |
| Address |
835 S Main St Oconto Falls WI 54154-1282 |
| Phone Number | 9208463444 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | HOSPITALIST |
| Group Practice PAC ID | 0446211395 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520097 | ST MARY'S HOSPITAL MEDICAL CENTER |
| 521310 | HSHS ST CLARE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1726 Shawano Ave, Green Bay, WI 54303-3216 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 835 S Main St, Oconto Falls, WI 54154-1282 | 9208463444 | ST CLARE MEMORIAL HOSPITAL INC |
| Organization Legal Name | ST CLARE MEMORIAL HOSPITAL INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacee Goedtel Birr | Family Medicine | St Clare Memorial Hospital Inc | 340 N Green Bay Ave, Gillett, WI 54124-9325 |
| Erin M Bancroft | Nurse Practitioner | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Clayton Keene | Nurse Practitioner | St Clare Memorial Hospital Inc | 14353 State Hwy 32 64, Mountain, WI 54149-9656 |
| Francis J Lee | Internal Medicine | St Clare Memorial Hospital Inc | 835 S Main St, Oconto Falls, WI 54154-1282 |
| Isaias R Cupino Jr. | Family Medicine | St Clare Memorial Hospital Inc | 200 S Rosera St, Lena, WI 54139-9169 |
| Amy M Romandine Kratz | Family Medicine | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Mengxia Zhang | Physician Assistant | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Shirley N Tetteh | Internal Medicine | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Richard K Mcnutt | General Surgery | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Antonide Arthus | Nurse Practitioner | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Street Address |
835 S MAIN ST |
| City | OCONTO FALLS |
| State | WI |
| Zip | 54154-1282 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis J Lee | Internal Medicine | St Clare Memorial Hospital Inc | 835 S Main St, Oconto Falls, WI 54154-1282 |
| Kristine M Doemel | Nurse Practitioner | St Clare Memorial Hospital Inc | 835 S Main St, Oconto Falls, WI 54154-1282 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William James Wittman | Internal Medicine | Bellin Memorial Hospital Inc | 100 E Highland Dr, Oconto Falls, WI 54154-1001 |
| Cassandra M Motkowski | Nurse Practitioner | Bellin Memorial Hospital Inc | 107 E Highland Dr, Oconto Falls, WI 54154-1002 |
| Brian Peterson | Physical Therapy | Bellin Memorial Hospital Inc | 107 E Highland Dr, Oconto Falls, WI 54154-1002 |
| Christine L Berndt | Nurse Practitioner | Bellin Memorial Hospital Inc | 107 E Highland Dr, Oconto Falls, WI 54154-1002 |
| Luz L Balmadrid | Family Medicine | Bellin Memorial Hospital Inc | 107 E Highland Dr, Oconto Falls, WI 54154-1002 |
| James R Spears | Orthopedic Surgery | Bellin Memorial Hospital Inc | 107 E Highland Dr, Oconto Falls, WI 54154-1002 |
| Brad J Lavallie | Optometry | Baycare Clinic LLP | 323 E Highland Dr, Suite 8, Oconto Falls, WI 54154-1006 |
| William Joseph Reynders | Ophthalmology | Baycare Clinic LLP | 323 E Highland Dr, Suite 8, Oconto Falls, WI 54154-1006 |
| Jacob A Kozisek | Optometry | Baycare Clinic LLP | 323 E Highland Dr, Suite 8, Oconto Falls, WI 54154-1006 |
| Joshua A Dietze | Chiropractic | 420 N Chestnut Ave, B, Oconto Falls, WI 54154-1109 | |
| Find all physicians in zip 54154 | |||
| City | OCONTO FALLS |
| Zip Code | 54154 |
| Specialty | HOSPITALIST |
| City + Specialty | OCONTO FALLS + HOSPITALIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.