Medic Az Quality

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

05004402A Issued in IN

Legal business name

MEDIC AZ QUALITY

Practice address

11330 Knightsbridge LN
Fishers, IN 46037-9151

Phone

(317) 410-2868

Fax

(317) 578-3638

NPI assigned

Oct 18, 2009

Last updated

Oct 18, 2009By 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

Gamal Ramadan Elsayed, DSCNPI 1306172846

Title

Manager

Phone

(317) 410-2858

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Gamal Ramadan Elsayed, PT, DSC

  • Physical Therapist
  • Fishers, IN
  • NPI 1306172846
  NPD (past) Authorized official

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255824000000",
    "number": "1417283953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 KNIGHTSBRIDGE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379151",
            "telephone_number": "317-410-2868",
            "fax_number": "317-578-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 KNIGHTSBRIDGE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379151",
            "telephone_number": "317-410-2868",
            "fax_number": "317-578-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC AZ QUALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A",
        "authorized_official_last_name": "ELSAYED",
        "authorized_official_first_name": "GAMAL",
        "authorized_official_middle_name": "RAMADAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-410-2858",
        "authorized_official_credential": "DSC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05004402A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-3807519",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily McNeil
• Sandra Renate McNeil
• Lauren McQuarters, LMHC
• MD Connect, LLC
• Jada Means
• Medical Psychology Associates, PC
• Medical Service Company (Medical Service Companies)
• Glenda Medina
• Carolyn Eileen Meier
• Meijer Stores Limited Partnership

• Physical Therapy Clinic/Center in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; 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.