Ibrahim S Umar M P C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R8426 Issued in MO

Legal business name

IBRAHIM S UMAR M P C

Practice address

4200 N Cloverleaf Dr
Suite N
Saint Peters, MO 63376-6436

Phone

(636) 922-9182

Fax

(636) 922-9183

NPI assigned

Jan 9, 2012

Last updated

May 22, 2012By 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

Dr. Ibrahim Suleman Umar, M.D.NPI 1811003890

Title

President

Phone

(636) 922-9182

Specialties & licenses 1

Addresses

Locations

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.

• Ibrahim Suleman Umar, M.D.

  • Pediatrics Physician
  • Saint Peters, MO
  • NPI 1811003890
  Authorized official Same address or phone

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1538439435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N CLOVERLEAF DR",
            "address_2": "SUITE N",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766436",
            "telephone_number": "636-922-9182",
            "fax_number": "636-922-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N CLOVERLEAF DR",
            "address_2": "SUITE N",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766436",
            "telephone_number": "636-922-9182",
            "fax_number": "636-922-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM S UMAR M P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "UMAR",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "SULEMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-922-9182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R8426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Hunter, ATC, CSCS
• Mitch Huntley
• Bradley Huynh
• Vinson Dien Vinh Huynh
• Hwy Clinical Laboratory Services Inc
• Susan J Iffrig, N.P.
• Ignite St Peters, LLC (Ignite Medical Resort St Peters)
• Ikhlaq-Rosinski Dental Partners DDS PC (Comprehensive Family Dental)
• Imaging Partners of St. Peters, LLC
• Kaylee Marie Imming

• Primary Care Clinic/Center in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.