Active NPI
Imran Masood Hamid
- Student in an Organized Health Care Education/Training Program
- Scranton, PA
National Provider Identifier
1558004606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 501 S Washington Ave Ste 1000
Scranton, PA 18505-3814 - Phone
- (570) 343-2383
- NPI assigned
- Apr 17, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
501 S Washington Ave Ste 1000
Scranton, PA 18505-3814
Mailing address
1873 Oneil Court
Mississauga, ON L5L 5X6
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220909002812 | PA | Order and Referring Only - Family Practice | 6103201249 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650153600000",
"number": "1558004606",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1873 ONEIL COURT",
"city": "MISSISSAUGA",
"state": "ON",
"postal_code": "L5L 5X6"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S WASHINGTON AVE STE 1000",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053814",
"telephone_number": "570-343-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMID",
"first_name": "IMRAN",
"middle_name": "MASOOD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-17",
"last_updated": "2022-04-17",
"certification_date": "2022-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; 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.