Ahmad Care LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

AHMAD CARE LLC

Practice address

1914 SE Niceville Dr
Port Saint Lucie, FL 34952-8041

Phone

(316) 847-3417

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Jawad Ahmad, MD

Title

Owner

Phone

(316) 847-3417

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1649818287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 SE NICEVILLE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349528041",
            "telephone_number": "316-847-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 SE NICEVILLE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349528041",
            "telephone_number": "316-847-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-847-3417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.