NPIMap

Organization Active NPI

Ijaz Mahmood MD PLC

  • Hematology & Oncology Physician
  • Elizabethtown, KY
National Provider Identifier
1225336852
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
IJAZ MAHMOOD MD PLC
Practice address
1239 Woodland Dr
Suite 105
Elizabethtown, KY 42701-2770
Phone
(270) 300-4461
NPI assigned
Mar 7, 2011
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Ijaz MahmoodNPI 1609858539
Title
Owner
Phone
(270) 300-4461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 31150 KY
Family Nurse Practitioner 363LF0000X
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

1239 Woodland Dr
Suite 105
Elizabethtown, KY 42701-2770

Mailing address

222 E Witherspoon St
Suite 2000
Louisville, KY 40202-6301

National Provider Directory

National Provider Directory

Locations

1 Bronze Pointe Blvd
Swansea, IL 62226
Phone (270) 900-1461

3906 Dupont Cir
Louisville, KY 40207
Phone (270) 900-1461

3906 Dupont Cir
Louisville, KY 40207
Phone (270) 900-1461

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1225336852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E WITHERSPOON ST",
            "address_2": "SUITE 2000",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402026301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR",
            "address_2": "SUITE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-300-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJAZ MAHMOOD MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-300-4461",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "KY",
            "license": "31150",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.