Nishaat Fathima Munshi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2009039323 Issued in MO

Practice address

12553 Gulf Fwy
Houston, TX 77034-4509

Phone

(281) 481-8557

Fax

(281) 484-7916

NPI assigned

Jan 11, 2010

Last updated

Jan 15, 2015By the provider in NPPES

Sex

Female

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

Other names 1

• Nishaat Fathima Ismail Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abdul Naushad MD PC

  dba Advanced Pain Center

  • Pain Medicine Physician
  • Poplar Bluff, MO
  • NPI 1306839196
  NPD (past)
• Integrity Regional Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Poplar Bluff, MO
  • NPI 1700489267
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1891025060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12553 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12553 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSHI",
        "first_name": "NISHAAT",
        "middle_name": "FATHIMA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2009039323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI PA LICENSE",
            "identifier": "2009039323",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA06753",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHAAT",
            "last_name": "ISMAIL",
            "middle_name": "FATHIMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Veronica Munoz, CRNA
• Marla Munro
• Kema Alexandra Munroe
• Hang Xuan Munsayac, M.D.
• Munshi Modern Pain, PLLC
• Omer F Munshi, M.D.
• Rachael Kathleen Munster, PA-C
• Carol Lee Munsterman, CRNA
• Bryce Taylor Munter, MD
• James E Muntz, MD

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.