Mohammed Ismail (NPI# 1477588747, PAC ID# 9032249222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477588747 |
| PAC ID by PECOS | 9032249222 |
| Professional Enrollment ID | I20100615000343 |
| Full Name | Mohammed Ismail |
| Address |
46 3rd St Waterford NY 12188-2455 |
| Gender | M |
| Graduation Year | 1963 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ADDICTION MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330180 | SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Cottage, Glenville, NY 12302 | 5189528142 | CONIFER PARK INC |
| 1300 Massachusetts Ave, Troy, NY 12180-1628 | 5182685000 | SAMARITAN HOSPITAL OF TROY NEW YORK |
| 46 3rd St, Waterford, NY 12188-2455 |
| Street Address |
46 3RD ST |
| City | WATERFORD |
| State | NY |
| Zip | 12188-2455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Conigliaro | Nurse Practitioner | Samaritan Hospital of Troy New York | 158 Saratoga Ave, Waterford, NY 12188-2205 |
| Frank J Robinson | Chiropractic | 38 Broad St, Waterford, NY 12188-2414 | |
| James T Lefebvre | Chiropractic | 20 Saratoga Ave, Waterford, NY 12188-2615 |
| City | WATERFORD |
| Zip Code | 12188 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WATERFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mohammed Ismail.
| 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.