Organization Active NPI

Mohammad a Ghafoor MD SC

  • Infectious Disease Physician
  • Ottawa, IL
National Provider Identifier
1801168166
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036046916 Issued in IL
Legal business name
MOHAMMAD A GHAFOOR MD SC
Practice address
827 E Norris Dr
Ottawa, IL 61350-1629
Phone
(815) 434-7204
Fax
(815) 434-9266
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mohammad A Ghafoor, M.D., S.C.
Title
President
Phone
(815) 434-7204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 036046916 IL Primary

Addresses

Primary practice location

827 E Norris Dr
Ottawa, IL 61350-1629

Mailing address

827 E Norris Dr
Ottawa, IL 61350-1629

National Provider Directory

National Provider Directory

Locations

827 E Norris Dr
Ottawa, IL 61350
Phone (815) 342-4448

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1801168166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501629",
            "telephone_number": "815-434-7204",
            "fax_number": "815-434-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A GHAFOOR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "GHAFOOR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-434-7204",
        "authorized_official_credential": "M.D., S.C."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036046916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.