Mohammad K Gayasaddin

Primary specialty

SpecialistTaxonomy code 174400000X

License

39269 Issued in KY

Legal business name

MOHAMMAD K GAYASADDIN

Doing business as

Mohammad K Gayasaddin

Practice address

914 N Dixie Ave Ste 301
Elizabethtown, KY 42701-2515

Phone

(270) 765-2220

Fax

(270) 765-2226

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad K Gayasaddin, M.DNPI 1508859315

Title

Owner

Phone

(270) 765-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mohammad K Gayasaddin Doing business as

Locations

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.

• Mohammad K Gayasaddin, MD

  • Cardiovascular Disease Physician
  • Elizabethtown, KY
  • NPI 1508859315
  NPD (past) Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1114176682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N DIXIE AVE STE 301",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012515",
            "telephone_number": "270-765-2220",
            "fax_number": "270-765-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N DIXIE AVE STE 301",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012515",
            "telephone_number": "270-765-2220",
            "fax_number": "270-765-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD K GAYASADDIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "GAYASADDIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-765-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "39269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64092166",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohammad K Gayasaddin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mobility Plus Homecare, Inc.
• Caitlin E. Mobley
• Rachel Ann Mobley
• Modern Kids Dentistry of Elizabethtown, PLLC
• Mohammad J. Iqbal
• Mohammed a. Siddiqui, M.D., PLLC
• Dwayne Edward Mollison Sr., M.ED, LPCA
• Kayleigh Rose Money, FNP
• Tonya Leigh Money, APRN
• Lindsey M. Monin

• Specialist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.