Active NPI
Mohamed Fawzi Ahmed
- Audiologist
- Saint Louis, MO
National Provider Identifier
1437300035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2008021813
- Practice address
- 4497 Pershing Ave
Apt. # 510
Saint Louis, MO 63108-2527 - Phone
- (314) 531-3255
- NPI assigned
- Oct 2, 2008
- Last updated
- Oct 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2008021813 | MO | Primary |
Addresses
Primary practice location
4497 Pershing Ave
Apt. # 510
Saint Louis, MO 63108-2527
Mailing address
4497 Pershing Ave
Apt. # 510
Saint Louis, MO 63108-2527
Phone (314) 531-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008021813 | MO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1437300035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4497 PERSHING AVE",
"address_2": "APT. # 510",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082527",
"telephone_number": "314-531-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4497 PERSHING AVE",
"address_2": "APT. # 510",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082527",
"telephone_number": "314-531-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MOHAMED",
"middle_name": "FAWZI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2008021813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.