Wardeh Agha Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD068460L Issued in PA

Legal business name

WARDEH AGHA MEDICAL CENTER LLC

Practice address

7 Anthra Plaza Ctr
Sr 61
Ranshaw, PA 17866-4199

Phone

(570) 644-0988

Fax

(570) 644-0945

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad WardehNPI 1255309779

Title

Owner

Phone

(570) 644-0988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmad Wardeh, MD

  • Internal Medicine Physician
  • Ranshaw, PA
  • NPI 1255309779
  Medicare reassignment Care Compare group NPD Authorized official
• Mouna Al-Agha, MD

  • Internal Medicine Physician
  • Ranshaw, PA
  • NPI 1497913156
  Medicare reassignment Care Compare group NPD
• Peter Edward McNeil, M.D.

  • Family Medicine Physician
  • Mt Carmel, PA
  • NPI 1881667319
  NPD

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1417188251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ANTHRA PLAZA CTR",
            "address_2": "SR 61",
            "city": "RANSHAW",
            "state": "PA",
            "postal_code": "178664199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ANTHRA PLAZA CTR",
            "address_2": "SR 61",
            "city": "RANSHAW",
            "state": "PA",
            "postal_code": "178664199",
            "telephone_number": "570-644-0988",
            "fax_number": "570-644-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDEH AGHA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "WARDEH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-644-0988",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD068460L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Wardeh, MD
• Mouna Al-Agha, MD
• Ahmad Wardeh, MD

• Internal Medicine Physician in Ranshaw, PA
• Providers in Ranshaw, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.