Omar Syed Ahmed (NPI# 1912392507, PAC ID# 1951659861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1912392507 |
| PAC ID by PECOS | 1951659861 |
| Professional Enrollment ID | I20180809004129 |
| Full Name | Omar Syed Ahmed |
| Organization Legal Name | SHADOW EMERGENCY PHYSICIANS PLLC |
| Address |
1150 Galleria Dr Las Vegas NV 89011 |
| Phone Number | 4694012386 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2860667375 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290054 | CENTENNIAL HILLS HOSPITAL MEDICAL CENTER |
| 290021 | VALLEY HOSPITAL MEDICAL CENTER |
| 290041 | SUMMERLIN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1150 Galleria Dr, Las Vegas, NV 89011 | 4694012386 | SHADOW EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | SHADOW EMERGENCY PHYSICIANS PLLC |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clayton Wu | Emergency Medicine | Shadow Emergency Physicians Pllc | 1150 Galleria Dr, Las Vegas, NV 89011 |
| Jann S Pickens | Nurse Practitioner | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Tammy L Green | Nurse Practitioner | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Timothy E Vanduzer | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Christopher J Pitotti | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Kelly B Morgan | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Amanda Melcher | Nurse Practitioner | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Samuel B Wright | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Nathan D Heaps | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Kevin George | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Street Address |
1150 GALLERIA DR |
| City | LAS VEGAS |
| State | NV |
| Zip | 89011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clayton Wu | Emergency Medicine | Shadow Emergency Physicians Pllc | 1150 Galleria Dr, Las Vegas, NV 89011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Mary Leonard | Nurse Practitioner | Infectious Diseases of Southern | 825 N Gibson Rd, Suite 311, Henderson, NV 89011-1708 |
| Fadi D El Salibi | Infectious Disease | Infectious Diseases of Southern | 825 N Gibson Rd, Suite 311, Henderson, NV 89011-1708 |
| Mir Ali Mohammad | Infectious Disease | Infectious Diseases of Southern | 825 N Gibson Rd, Suite 311, Henderson, NV 89011-1708 |
| Dana Masako Soma | Nurse Practitioner | Qureshi Al Owir Pllc | 1050 W Galleria Dr, Henderson, NV 89011-4800 |
| Gregson J Porteous | Anesthesiology | Anesthesia and Intensive Care Specialists LLP | 1050 W Galleria Dr, Henderson, NV 89011-4800 |
| Monsuru O Ibraheem | Internal Medicine | 1050 W Galleria Dr, Henderson, NV 89011-4800 | |
| William Wesley Jennings | Obstetrics/gynecology | Las Vegas Medical Group LLC | 1050 W Galleria Dr, Henderson, NV 89011-4800 |
| Brian C Hager | Anesthesiology | Anesthesia and Intensive Care Specialists LLP | 1050 W Galleria Dr, Henderson, NV 89011-4800 |
| Hanna A Chehade | Obstetrics/gynecology | Las Vegas Medical Group LLC | 1050 W Galleria Dr, Henderson, NV 89011-4800 |
| Ronnie Malalay Bordador | Nurse Practitioner | Qureshi Al Owir Pllc | 1050 W Galleria Dr, Henderson, NV 89011-4800 |
| Find all physicians in zip 89011 | |||
| City | LAS VEGAS |
| Zip Code | 89011 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAS VEGAS + EMERGENCY MEDICINE |
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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.