Mohammed Fuad, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

66 MDS (Afmc)
90 Vandenberg Dr. BLDG. 1900
Hanscom AFB, MA 01731

Phone

(781) 225-6789

NPI assigned

Nov 7, 2005

Last updated

Aug 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1730160938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MDS (AFMC)",
            "address_2": "90 VANDENBERG DR. BLDG. 1900",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "01731",
            "telephone_number": "781-225-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MDS (AFMC)",
            "address_2": "90 VANDENBERG DR. BLDG. 1900",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "01731",
            "telephone_number": "781-225-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUAD",
        "first_name": "MOHAMMED",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12/31/2006",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057703",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Elizabeth Colucci, PHARM.D
• Callie Comstock
• Beverly A Dangelo, LICSW
• Glenn Emery Degere, M.S.W., L.I.C.S.W.
• David Anthony Digregorio, PA-C
• Andrea Lynne Galeucia, LICSW; BCD
• Timothy Alan Gameros, PSYCHOLOGIST
• John David Gerhauser, DMD
• Frank Allen Glenn, PHYSICAL THERAPIST
• Ryan Gray, MD

• Medical Physician Assistant in Hanscom AFB, MA
• Providers in Hanscom AFB, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.