Active NPI
Mamoona Shaikh-Ahmad, MD, PA
- Pain Medicine (Anesthesiology) Physician
- Lubbock, TX
National Provider Identifier
1174873087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD2005-0851
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Las Cruces, NM
- NPI 1790002830
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.