Mahasneh MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MAHASNEH MD PLLC

Practice address

252 Matlock Rd Ste 348
Mansfield, TX 76063-4294

Phone

(682) 622-0004

Fax

(972) 572-0423

NPI assigned

Jul 31, 2019

Last updated

Jul 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shaam Mahasneh, MDNPI 1689093882

Title

Ophthalmologist

Phone

(682) 622-0004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Shaam Mahasneh, MD

  • Cornea and External Diseases Specialist Physician
  • Mansfield, TX
  • NPI 1689093882
  Medicare reassignment NPD Authorized official
• Brenda Fadeyi, O.D.

  • Optometrist
  • Weslaco, TX
  • NPI 1902264989
  Medicare reassignment NPD

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1942854682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 348",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634294",
            "telephone_number": "682-622-0004",
            "fax_number": "682-628-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 348",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634294",
            "telephone_number": "682-622-0004",
            "fax_number": "972-572-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHASNEH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "MAHASNEH",
        "authorized_official_first_name": "SHAAM",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "682-622-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Makenzie Maddox
• Maegan Shepherd
• Marcelline Mafor
• Fernando Magana Herrera, DO
• Faith Magness, LMSW
• Shaam Mahasneh, MD
• Pamela M Makolo, PMHNP-BC
• Katelin Malcomb
• Mansfield Anesthesia Consultants PLLC
• Mansfield Chiropractic Center LLC

• Ophthalmology Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.