Organization Active NPI

Comprehensive Neurology & Headache Center Inc

  • Neurology Physician
  • Toledo, OH
National Provider Identifier
1043317308
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35083960 Issued in OH
Legal business name
COMPREHENSIVE NEUROLOGY & HEADACHE CENTER INC
Practice address
4417 N Holland Sylvania Rd
Ste 301C
Toledo, OH 43623-3518
Phone
(419) 517-5333
Fax
(419) 517-5335
NPI assigned
Sep 20, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mahmoud S Mohamed, MDNPI 1679569222
Title
Owner
Phone
(313) 333-6250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 35083960 OH Primary

Addresses

Primary practice location

4417 N Holland Sylvania Rd
Ste 301C
Toledo, OH 43623-3518

Mailing address

4417 N Holland Sylvania Rd
Ste 301C
Toledo, OH 43623-3518
Phone (419) 517-5333

Other identifiers 2

IdentifierTypeStateIssuer
2823396MedicaidOH
DF6295OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070109000132 OH Part B Supplier - Clinic/Group Practice 4486654852 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

2303 N Main St
Findlay, OH 45840
Phone (419) 348-5830

4417 N Holland Sylvania Rd
Ste 301B
Toledo, OH 43623
Phone (419) 517-5333

4417 N Holland Sylvania Rd
Ste 301C
Toledo, OH 43623
Phone (419) 517-5333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1043317308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 N HOLLAND SYLVANIA RD",
            "address_2": "STE 301C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233518",
            "telephone_number": "419-517-5333",
            "fax_number": "419-517-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 N HOLLAND SYLVANIA RD",
            "address_2": "STE 301C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233518",
            "telephone_number": "419-517-5333",
            "fax_number": "419-517-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY & HEADACHE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-333-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35083960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2823396",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF6295",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.