Active NPI
Abdelmadjid Guerrah, M.D.
- Public Health & General Preventive Medicine Physician
- Ogema, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- MD0000042852
- Practice address
- 40520 County Highway 34
Ogema, MN 56569-9612 - Phone
- (218) 983-4300
- Fax
- (218) 983-6217
- NPI assigned
- Oct 27, 2007
- Last updated
- Jun 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD0000042852 | TN | Primary |
| General Practice Physician | 208D00000X | MD0000042852 | TN |
Addresses
Primary practice location
40520 County Highway 34
Ogema, MN 56569-9612
Mailing address
11437 Milton Wilson Road PO Box 949
Arlington, TN 38002
Phone (901) 745-7871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000042852 | TN | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Amed Medical Group PLLC | Current | Accepting new patients | |
| Prohealth Rural Health Services, Inc | Past | Accepting new patients | |
| Prohealth Rural Health Services, Inc | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
1 Veterans Way
Knoxville, TN 37931
Phone (865) 388-0911
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
5081 Easley Ave
Millington, TN 38053
Phone (901) 873-3290
4536 Nolensville Rd
Ste F
Nashville, TN 37211
Phone (615) 275-7250
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- abdelmadjidguerrah@afc-tn.direct.office.nextgen.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Nashville, TN
- NPI 1952956500
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
TN
-
- Federally Qualified Health Center (FQHC)
- Franklin, TN
- NPI 1104827534
-
- Federally Qualified Health Center (FQHC)
- Columbia, TN
- NPI 1124270657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1447439369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11437 MILTON WILSON ROAD PO BOX 949",
"city": "ARLINGTON",
"state": "TN",
"postal_code": "38002",
"telephone_number": "901-745-7871",
"fax_number": "901-745-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "565699612",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRAH",
"first_name": "ABDELMADJID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-27",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TN",
"license": "MD0000042852",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "MD0000042852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogema, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.