Haidar Almhana and Nieding LLC
Organization Active NPI Psychiatry Physician · Avon Lake, OH
NPI 1306922604 · NPPES record last updated Feb 5, 2013
Key facts
- NPI
- 1306922604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- HAIDAR ALMHANA AND NIEDING LLC
- Practice address
- 223 Miller Rd
Avon Lake, OH 44012-1004 - Phone
- (440) 930-2002
- Fax
- (440) 930-2085
- NPI assigned
- Oct 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Said Abou-Haidar, MD
- Title
- Partner
- Phone
- (440) 930-2002
Practitioners 3
-
Yassin Ismat Ghanem, APRN, PMHNP
-
Diab Almhana, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2054527 | Haidar Almhana & Nieding LLC Dba Quest | Certificate of waiver | Mar 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050131000982 | OH | Part B Supplier - Clinic/Group Practice | 0840240487 |
Receives reassigned benefits from 3 practitioners Practice locations: Avon Lake, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Social Worker |
104100000X | |||
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
223 Miller Rd
Avon Lake, OH 44012-1004
Mailing address
223 Miller Rd
Avon Lake, OH 44012-1004
Phone (440) 930-2002
Other providers in Avon Lake, OH
- Abigail Green
- Alexander Elijah Greene
- Jaime Greene
- Audrey Greenrod
- Joan Maria Grospitch
- Robin M Hale
- Lisa Harasimchuk
- Mary Helen Harmych
- Alexandra Harrison
- John Harvis-Bey
All providers in Avon Lake, OH · Psychiatry Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.