Aziz Ahmad, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0037515 Issued in FL

Practice address

1301 Ohio Ave
Lynn Haven, FL 32444-2558

Phone

(850) 265-6604

Fax

(850) 265-4879

NPI assigned

Jun 30, 2006

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Panama Internal Medicine Associates

  • Internal Medicine Physician
  • Lynn Haven, FL
  • NPI 1942361977
  NPD (past)
• Primis Initium Health LLC

  • Physical Medicine & Rehabilitation Physician
  • Pensacola, FL
  • NPI 1316893928
  NPD (past)
• Santa Rosa Anesthesia Associates, PA

  • Anesthesiology Physician
  • Milton, FL
  • NPI 1013993534
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1942239405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30120",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031120",
            "telephone_number": "850-478-1312",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442558",
            "telephone_number": "850-265-6604",
            "fax_number": "850-265-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "AZIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0037515",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME0035715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039367300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Adams, RPH
• Mary Sue Adams
• Nathan Adams
• Aegle Group LLC
• Affinity Wellness Corporations
• Verel Marie Ahye, PHARM.D.
• Malvinder S Ajit, MD
• All Too Well Therapy LLC
• Christina Allen, PHARMD
• Geraldine Ann Alvarado, LMT

• Surgery Physician in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.