Mirza N. Ahmad, M.D., Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MIRZA N. AHMAD, M.D., INC.

Practice address

4782 Munson St NW
Canton, OH 44718-3630

Phone

(330) 497-0817

Fax

(330) 497-0819

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Mirza N Ahmad, MDNPI 1639266174

Title

Owner

Phone

(330) 497-0817

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirza N Ahmad, MD

  • Plastic and Reconstructive Surgery Physician
  • Canton, OH
  • NPI 1639266174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1902367345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4782 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183630",
            "telephone_number": "330-497-0817",
            "fax_number": "330-497-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4782 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183630",
            "telephone_number": "330-497-0817",
            "fax_number": "330-497-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZA N. AHMAD, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-497-0817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Ethell Mirande, MD
• Naseem Mirhaidari, CT
• Shayda Mirhaidari, M.D.
• Martin Phillip Mirise, NURSE AIDE
• Ksenia V Miroshnichenko
• Edward E Missinne, MD
• Ashlen Mitchell, LPCC
• Brianna Jhane Mitchell
• Chelsea Mitchell
• Damita R. Mitchell, NON BA, TO

• Plastic and Reconstructive Surgery Physician in Canton, OH
• Providers in Canton, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.