Active NPI
Ahmer Hussain
- Emergency Medicine Physician
- Poteau, OK
National Provider Identifier
1124093414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18988
- Practice address
- 1001 N Broadway St
Box 787
Poteau, OK 74953-2609 - Phone
- (918) 649-0731
- Fax
- (918) 649-3960
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18988 | OK | Primary |
Addresses
Primary practice location
1001 N Broadway St
Box 787
Poteau, OK 74953-2609
Mailing address
1001 N Broadway St
P.O. Box 787
Poteau, OK 74953-2609
Phone (918) 649-0731
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100108690E | Medicaid | OK | |
| 200038910B | Medicaid | OK | |
| 020654565002 | Other | OK | BCBS |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18988 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hussains Family Practice RHC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Wilburton, OK
- NPI 1407971492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1124093414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N BROADWAY ST",
"address_2": "P.O. BOX 787",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532609",
"telephone_number": "918-649-0731",
"fax_number": "918-649-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N BROADWAY ST",
"address_2": "BOX 787",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532609",
"telephone_number": "918-649-0731",
"fax_number": "918-649-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "AHMER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "18988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100108690E",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200038910B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "020654565002",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.