Organization Active NPI

Mamoona Shaikh-Ahmad, MD, PA

  • Pain Medicine (Anesthesiology) Physician
  • Lubbock, TX
National Provider Identifier
1174873087
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD2005-0851 Issued in NM
Legal business name
MAMOONA SHAIKH-AHMAD, MD, PA
Practice address
5219 City Bank Pkwy
Suite 35
Lubbock, TX 79407-3544
Phone
(806) 761-0334
Fax
(806) 785-0872
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Kelly Fischer
Title
Credentialling Coordinator
Phone
(806) 761-0329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X MD2005-0851 NM Primary

Addresses

Primary practice location

5219 City Bank Pkwy
Suite 35
Lubbock, TX 79407-3544

Mailing address

PO Box 64412
Lubbock, TX 79464-4412
Phone (806) 761-0334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121023000349 NM Part B Supplier - Clinic/Group Practice 0648420950 Receives reassigned benefits from 1 practitioner
Practice locations: Hobbs, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1174873087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64412",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794644412",
            "telephone_number": "806-761-0334",
            "fax_number": "806-785-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY",
            "address_2": "SUITE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544",
            "telephone_number": "806-761-0334",
            "fax_number": "806-785-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMOONA SHAIKH-AHMAD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALLING COORDINATOR",
        "authorized_official_telephone_number": "806-761-0329"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NM",
            "license": "MD2005-0851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.