Mudathir N Obied

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

364 Pleasant Meadow Blvd Apt F
Stow, OH 44224-4980

Phone

(614) 805-4861

NPI assigned

Aug 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1326775164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 PLEASANT MEADOW BLVD APT F",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244980",
            "telephone_number": "614-805-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 PLEASANT MEADOW BLVD APT F",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244980",
            "telephone_number": "614-805-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIED",
        "first_name": "MUDATHIR",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.modivcare.com",
            "affiliation": "N",
            "address_1": "364 Pleasant Meadow Blvd Apt F",
            "city": "Stow",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442244980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Stow, OH
• Providers in Stow, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.