Mohammad Ali Faisal, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME58587 Issued in FL

Legal business name

MOHAMMAD ALI FAISAL, M.D., P.A.

Practice address

1283 SW State Road 47
Suite 104
Lake City, FL 32025-0490

Phone

(386) 758-5985

Fax

(386) 758-5987

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Ali Faisal, M.D.NPI 1801866405

Title

President

Phone

(386) 758-5985

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Mohammad Ali Faisal MD P2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mohammad Ali Faisal Mdpa

  • Specialist
  • Lake City, FL
  • NPI 1275944126
  NPD tax ID

Locations

Practitioners 9

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

• Mohammad A Faisal, M.D.

  • Gastroenterology Physician
  • Lake City, FL
  • NPI 1801866405
  Medicare reassignment NPD Authorized official
• Lindsay Bryant, APRN

  • Nurse Practitioner
  • Gainsville, FL
  • NPI 1609385145
  Medicare reassignment NPD
• Marcheta Crews, ARNP

  • Family Nurse Practitioner
  • Macclenny, FL
  • NPI 1023423829
  Medicare reassignment NPD
• Sabine R Olaughlin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, FL
  • NPI 1508824228
  Medicare reassignment NPD
• Nicole Ashley Polbos, ARNP

  • Primary Care Nurse Practitioner
  • Gainesville, FL
  • NPI 1174063127
  Medicare reassignment NPD
• Ricardo J Rosado, M.D.

  • Gastroenterology Physician
  • Lake City, FL
  • NPI 1629048228
  Medicare reassignment NPD
• Faisal Mukhtar, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Gainesville, FL
  • NPI 1093973943
  NPD
• Imad M Nakshabendi, M.D.

  • Gastroenterology Physician
  • Brandon, FL
  • NPI 1689621054
  NPD (past)
• Waseem Ismail Aziz, MD

  • Gastroenterology Physician
  • Fairfax, VA
  • NPI 1023038270
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1689639353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3009",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320563009",
            "telephone_number": "386-758-5985",
            "fax_number": "386-758-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 SW STATE ROAD 47",
            "address_2": "SUITE 104",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250490",
            "telephone_number": "386-758-5985",
            "fax_number": "386-758-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ALI FAISAL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "FAISAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-758-5985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME58587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21142",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251378100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert James Mobley, PT, DPT
• Brandy J Mobley, M.ED
• Denise R Mobley, LCSW
• Mavis M Mobley
• Mohammad Ali Faisal Mdpa
• Mohammed G Choudhury, Mdpa.
• Chandler Vimal Mohan, M.D.
• Eileen Molyet, CRNA
• Joseph Frank Mondschein, M.D.
• Monica L Craig NP-C LLC

• Specialist in Lake City, FL
• Providers in Lake City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.