Faisal Omer

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

18302073 Issued in TX

Practice address

17933 Kenai Fjords Dr
Pflugerville, TX 78660-5255

Phone

(512) 905-0597

NPI assigned

Dec 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nureddis Habeb Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1104291616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17933 KENAI FJORDS DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605255",
            "telephone_number": "512-905-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17933 KENAI FJORDS DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605255",
            "telephone_number": "512-905-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMER",
        "first_name": "FAISAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "18302073",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "23407463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NUREDDIS",
            "last_name": "HABEB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Genesis Nkechi Okorocha
• Jaime Tavonia Olidge, LPC-A
• Madison Joy Olney, MS, CCC-SLP
• Shannon Alisa Olson
• Yetunde Omolara Olusanya, M.D.
• Michael Omirin
• James Kelly Oneil, RPH
• Senecae Patrice Ontiberos
• Glory Onuoha
• Innocent Ezekwesiri Onuoha

• Non-emergency Medical Transport (VAN) in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.