Organization Active NPI

Saeed Ahmed MD PSC

  • Specialist
  • Elizabethtown, KY
National Provider Identifier
1336306299
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23813 Issued in KY
Legal business name
SAEED AHMED MD PSC
Practice address
1107 Woodland Dr
Elizabethtown, KY 42701-2789
Phone
(270) 765-4540
Fax
(270) 737-6425
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Saeed Ahmed, M.D.
Title
Owner
Phone
(270) 765-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23813 KY Primary

Addresses

Primary practice location

1107 Woodland Dr
Elizabethtown, KY 42701-2789

Mailing address

1107 Woodland Dr
Elizabethtown, KY 42701-2789
Phone (270) 765-4540

Other identifiers 3

IdentifierTypeStateIssuer
1052261OtherKYPASSPORT HEALTH PLAN
1689786337OtherKYINDIVIDUAL NPI NUMBER
64007826MedicaidKY

Other names 1

  • Saeed Ahmed MD PSC Former legal business name

National Provider Directory

National Provider Directory

Locations

1194 Old Ekron Rd
Ste C
Brandenburg, KY 40108
Phone (270) 422-2442

1107 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 765-4540

1107 Woodland Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 765-4540

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1336306299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012789",
            "telephone_number": "270-765-4540",
            "fax_number": "270-737-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012789",
            "telephone_number": "270-765-4540",
            "fax_number": "270-737-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAEED AHMED MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SAEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-765-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "23813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "1052261",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1689786337",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64007826",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saeed Ahmed MD PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 28, 2017; 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.