Abid Nisar

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

ABID NISAR

Practice address

2044 Madison Ave
Ste 28
Granite City, IL 62040-4641

Phone

(618) 451-9953

Fax

(618) 451-9322

NPI assigned

Aug 30, 2006

Last updated

Jul 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abid Nisar, MDNPI 1245375567

Title

Physician

Phone

(618) 451-9953

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Abid Nisar, MD

  • Internal Medicine Physician
  • Saint Peters, MO
  • NPI 1245375567

  Hematology & Oncology

  NPD (past) Authorized official
• Mohammed Zahid Siddiqui, MD

  • Medical Oncology Physician
  • Nashville, IL
  • NPI 1730115973
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1346350808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTNT: CREDENTIALING DEPT.",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 MADISON AVE",
            "address_2": "STE 28",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404641",
            "telephone_number": "618-451-9953",
            "fax_number": "618-451-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABID NISAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "NISAR",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-451-9953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD0222",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 3F Vision LLC (Clarkson Eyecare)
• Michael E Abbett, DC
• Acjk Inc (Medicap Pharmacy)
• Michael C Adams, MD
• Michelle Adams
• Advantage Medical Equipment, Inc.
• Ahmad & Rana Pediatrics, LTD

• Hematology & Oncology Physician in Granite City, IL
• Providers in Granite City, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.