Northland Medical Associates, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35. 075268 Issued in OH

Legal business name

NORTHLAND MEDICAL ASSOCIATES, INC

Practice address

1495 Morse Rd
310
Columbus, OH 43229-6478

Phone

(614) 679-2903

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mustafa Ahmed, M.D.NPI 1841239118

Title

President

Phone

(614) 679-2903

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mustafa I Ahmed, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1841239118
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508948506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD",
            "address_2": "304",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296478",
            "telephone_number": "614-679-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD",
            "address_2": "310",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296478",
            "telephone_number": "614-679-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-679-2903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35. 075268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Lights Active Day Center.LLP
• Northland Chiropractic Center, LTD
• Northland Dental Group Inc.
• Northland Diagnostic Imaging Center LLC
• Northland Hearing Center, Inc.
• Northland Preparatory & Fitness Academy
• James Herschel Northrup
• Northstar Family Practice Inc
• Northstar Home Healthcare, LLC
• Northstar Medical Transportation LLC

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.