Organization Active NPI

Thomas & Husain Medical Assoc Inc

  • Internal Medicine Physician
  • E Liverpool, OH
National Provider Identifier
1891711875
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THOMAS & HUSAIN MEDICAL ASSOC INC
Practice address
48681 Calcutta Smithferry Rd
E Liverpool, OH 43920-9006
Phone
(330) 385-4004
Fax
(330) 385-3949
NPI assigned
Jul 14, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Mumtaz Jamal Husain, MDNPI 1295751113
Title
MD Physician
Phone
(330) 385-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

48681 Calcutta Smithferry Rd
E Liverpool, OH 43920-9006

Mailing address

PO Box 2346
48681 Calcutta Smithferry Rd
E Liverpool, OH 43920-0346
Phone (330) 385-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051213000558 OH Part B Supplier - Clinic/Group Practice 1254352636 Receives reassigned benefits from 2 practitioners
Practice locations: E Liverpool, OH; East Liverpool, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0333218Thomas and Husain Medical Assoc48681 Calcutta Smithferry Rd, East Liverpool, OH 43920Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Locations

15688 State Route 170
East Liverpool, OH 43920
Phone (330) 385-4004

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1891711875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2346",
            "address_2": "48681 CALCUTTA SMITHFERRY RD",
            "city": "E LIVERPOOL",
            "state": "OH",
            "postal_code": "439200346",
            "telephone_number": "330-385-4004",
            "fax_number": "330-385-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48681 CALCUTTA SMITHFERRY RD",
            "city": "E LIVERPOOL",
            "state": "OH",
            "postal_code": "439209006",
            "telephone_number": "330-385-4004",
            "fax_number": "330-385-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS & HUSAIN MEDICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "MD PHYSICIAN",
        "authorized_official_telephone_number": "330-385-4004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.