Organization Active NPI

Hamada Mahmoud MD

  • Clinic/Center
  • Huntington, WV
National Provider Identifier
1528502317
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20022 Issued in WV
Legal business name
HAMADA MAHMOUD MD
Practice address
5505 US Route 60 East
Suite 175
Huntington, WV 25705-2058
Phone
(304) 948-6754
Fax
(304) 948-6752
NPI assigned
Dec 13, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Sarah Vance
Title
Billing Manager
Phone
(304) 731-5823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 20022 WV Primary

Addresses

Primary practice location

5505 US Route 60 East
Suite 175
Huntington, WV 25705-2058

Mailing address

5505 US Route 60 East
Suite 175
Huntington, WV 25705-2058
Phone (304) 948-6754

Other identifiers 1

IdentifierTypeStateIssuer
3810027419MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1528502317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 US ROUTE 60 EAST",
            "address_2": "SUITE 175",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052058",
            "telephone_number": "304-948-6754",
            "fax_number": "304-948-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 US ROUTE 60 EAST",
            "address_2": "SUITE 175",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052058",
            "telephone_number": "304-948-6754",
            "fax_number": "304-948-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMADA MAHMOUD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "304-731-5823"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": "20022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810027419",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.