Mustafa Abdurahman Mead

Primary specialty

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

License

SD043153 Issued in OH

Practice address

457 Knob HL E
Columbus, OH 43228-5404

Phone

(614) 929-1028

Fax

(614) 929-1028

NPI assigned

Aug 14, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haven Home Support LLC

  • Home Health Agency
  • Columbus, OH
  • NPI 1720804396
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1801579073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 KNOB HL E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432285404",
            "telephone_number": "614-929-1028",
            "fax_number": "614-929-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 KNOB HL E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432285404",
            "telephone_number": "614-929-1028",
            "fax_number": "614-929-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "MUSTAFA",
        "middle_name": "ABDURAHMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "SD043153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Md1Stop Urgent Care
• Benjamin Meacham, DO
• Rebecca Meacham
• Edwin Louis Mead, DDS
• Michelle Mead, MD
• Gaile Meade-Peck
• Amy Marie Meade, RN, ACNP-BC
• Bryce Meade
• Karen N Meade, APRN-CNS
• Macie Meade

• Non-emergency Medical Transport (VAN) in Columbus, OH
• Providers in Columbus, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.