Omer Mohamed

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

D04629645 Issued in AZ

Practice address

1606 W Peoria Ave Apt 103
Phoenix, AZ 85029-5702

Phone

(520) 251-7391

NPI assigned

Dec 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1740827765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7501",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850117501",
            "telephone_number": "520-251-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 W PEORIA AVE APT 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295702",
            "telephone_number": "520-251-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "OMER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "D04629645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE PLAN",
            "identifier": "D04629645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amira Mohamed
• Awab Mohamed
• Fahad Mohamed, OWNER
• Hesham E Mohamed, MD
• Hoda Mohamed, WHNM
• Sara Mohamed
• Zeinab Aly Mohamed
• Salam Mohammed Arif, M.D.
• Andrew A Mohammed, MD
• Gemachu Mohammed

• Non-emergency Medical Transport (VAN) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.