Individual provider Active NPI

Syeda S. Ahmed, MD

  • Pediatrics Physician
  • Bowling Green, OH
National Provider Identifier
1053332676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35042410 Issued in OH
Practice address
960 W. Wooster Street
Suite 216
Bowling Green, OH 43402-2650
Phone
(419) 354-3123
Fax
(419) 352-3939
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35042410 OH Primary

Addresses

Primary practice location

960 W. Wooster Street
Suite 216
Bowling Green, OH 43402-2650

Mailing address

960 W. Wooster Street
Suite 216
Bowling Green, OH 43402-2650
Phone (419) 354-3123

Other identifiers 1

IdentifierTypeStateIssuer
0454913MedicaidOH

Other names 1

  • Mrs. S. S. Ahmed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35042410OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053332676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W. WOOSTER STREET",
            "address_2": "SUITE 216",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022650",
            "telephone_number": "419-354-3123",
            "fax_number": "419-352-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W. WOOSTER STREET",
            "address_2": "SUITE 216",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022650",
            "telephone_number": "419-354-3123",
            "fax_number": "419-352-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYEDA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35042410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454913",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "AHMED",
            "middle_name": "S.",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.