MHD Daghostani, SURGICAL ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

23 Baxter LN
Chesterfield, MO 63017-4907

Phone

(407) 486-6825

NPI assigned

Jan 25, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Alkamal Inc.

  • Surgical Physician Assistant
  • Chesterfield, MO
  • NPI 1225784325
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1891447421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BAXTER LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174907",
            "telephone_number": "407-486-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BAXTER LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174907",
            "telephone_number": "407-486-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Veterans Memorial Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761681",
            "country_code": "US",
            "telephone_number": "636-441-0906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Lake St Louis",
            "state": "MO",
            "postal_code": "633671366",
            "country_code": "US",
            "telephone_number": "636-625-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGHOSTANI",
        "first_name": "MHD",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Cunningham, OD
• Elizabeth Ann Curtis, FNP-C
• Mallory Elizabeth Cusumano, NP
• Frances J Cutshall, PTA
• Timothy Joseph D'Agostino Sr., RPA
• John D Dahm, MD
• Timothy Joseph Dalaviras, LPC
• Dale M Stegeman MD Inc
• Justine E Daley
• Caroline E Dalluge, OTD

• Surgical Physician Assistant in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Surgical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.