Maysoon Shocair Ali, MD FACP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD0000009714 Issued in TN

Practice address

806 E Main St
Waverly, TN 37185-1814

Phone

(931) 296-7788

Fax

(931) 296-7130

NPI assigned

Sep 30, 2005

Last updated

Jul 1, 2010By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1841287216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 E MAIN ST",
            "address_2": "PO BOX 786",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851814",
            "telephone_number": "931-296-7788",
            "fax_number": "931-296-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851814",
            "telephone_number": "931-296-7788",
            "fax_number": "931-296-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MAYSOON",
        "middle_name": "SHOCAIR",
        "credential": "MD FACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD0000009714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3161144",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "81042",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0040478",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Diagnostic Imaging, PC (Neuhaus Foot and Ankle)
• Air Evac EMS Inc (Air Evac Lifeteam)
• Subhi D Ali, MD FACS
• Elizabeth Allison
• Ambulance Services, Inc
• Tiffany Renee Bagwell, APRN, NP-C
• Baker Family Dentistry, PLLC

• Gastroenterology Physician in Waverly, TN
• Providers in Waverly, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.