Mohammad a. Mian, MD PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22242 Issued in KY

Legal business name

MOHAMMAD A. MIAN, MD PSC

Practice address

9017 Taylorsville Rd
Louisville, KY 40299-1749

Phone

(502) 499-9993

Fax

(502) 495-0758

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Jacobs Singer

Title

Office Manager

Phone

(502) 499-9993

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• KENTUCKIANA PSYCHOTHERAPY ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Mohammad Afzal Mian, M.D.

  • Specialist
  • Louisville, KY
  • NPI 1881796183

  IN

  Medicare reassignment
• Doris Jean Nelson, L.C.S.W.

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1932379674
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1639399249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 TAYLORSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991749",
            "telephone_number": "502-499-9993",
            "fax_number": "502-495-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 TAYLORSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991749",
            "telephone_number": "502-499-9993",
            "fax_number": "502-495-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A. MIAN, MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "JACOBS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-499-9993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "425",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "22242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65917932",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116470",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64222425",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82004250",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055430",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82900036",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENTUCKIANA PSYCHOTHERAPY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Nicole Moffit, OTA/L
• Mahyar Mofidi, DMD
• Manoocher Mofidi, MD
• Ayoub Mogassbi, M.D.
• Mustafa Mohamed
• Sura Mohammad
• Vahid Mohammadzadeh, MD
• Maneesh Mohan, DMD
• Ranjini Mohan, PH.D
• Mohana R Arla MD PSC

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.