Individual provider Active NPI

Ahmed Farghal Ahmed

  • Chiropractor
  • Elkton, MD
National Provider Identifier
1609112457
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03725 Issued in MD
Practice address
677 E Pulaski Hwy Ste 1B
Elkton, MD 21921-6057
Phone
(410) 398-0590
NPI assigned
Dec 26, 2012
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03725 MD Primary

Addresses

Primary practice location

677 E Pulaski Hwy Ste 1B
Elkton, MD 21921-6057

Mailing address

249 Barrett Run PL
Newark, DE 19702-2971
Phone (410) 398-0590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Chiropractic Care, LLC CurrentSince Feb 12, 2023 Accepting new patients
Thomas W Moses DC PC Chiropractor PastSince Feb 1, 2007 Accepting new patients

Locations

677 E Pulaski Hwy
Ste 1B
Elkton, MD 21921
Phone (302) 595-3670

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1609112457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 BARRETT RUN PL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022971",
            "telephone_number": "410-398-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E PULASKI HWY STE 1B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216057",
            "telephone_number": "410-398-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "AHMED",
        "middle_name": "FARGHAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.