Ahmad M Hooshmand, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R1B54 Issued in MO

Practice address

915 Southwest Blvd
#E
Jefferson City, MO 65109-5014

Phone

(573) 634-4700

Fax

(573) 635-4003

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jefferson City Medical Group, P.C.

  • Hematology & Oncology Physician
  • Jefferson City, MO
  • NPI 1215093257
  NPD
• Jefferson City Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Jefferson City, MO
  • NPI 1336189398
  NPD
• Jefferson City Medical Group, P.C.

  • Clinical Medical Laboratory
  • Jefferson City, MO
  • NPI 1811292105
  NPD

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1831175959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD",
            "address_2": "#E",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "573-634-4700",
            "fax_number": "573-635-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD",
            "address_2": "#E",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "573-634-4700",
            "fax_number": "573-635-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSHMAND",
        "first_name": "AHMAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "R1B54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000015436",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201565512",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Homemaker Health Care Inc
• Homemaker Health Care, Inc.
• Homemaker Health Care, Inc.
• Homemaker Health Care, Inc.
• Patricia G Hook, COTA/L
• Mackenzie Hoover
• Tamara Vann Hopkins, M.D.
• Jordan M. Horban, PLPC
• Bart Edward Horton, C.R.N.A.
• Stephanie Hose, M.D.

• Neurology Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.