DR. AYMAN I OMAR MD PHD NPI 1285894501

NPI Information

NPI: 1285894501
Provider Name: DR. AYMAN I OMAR, MD, PHD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

PECOS Registration: Yes

Address:
751 N RUTLEDGE ST
SUITE 3100
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8417
Get Directions

DR. Ayman I Omar, MD, PHD is a neurology psychiatry neurology in Springfield, IL with 32 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Ayman I Omar, MD, PHD NPI is 1285894501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 N RUTLEDGE ST
SUITE 3100
SPRINGFIELD, IL
ZIP 62702-968
Phone: (217) 545-8417
Fax: (217) 545-8039

The NPI 1285894501 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 5/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	01062696A	INDIANA	Yes
2	2084N0400X	Psychiatry & Neurology	Neurology	84880	GEORGIA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	036-120688	ILLINOIS	No
4	2084N0400X	Psychiatry & Neurology	Neurology	70514-20	WISCONSIN	No
5	2084N0400X	Psychiatry & Neurology	Neurology	2013037671	MISSOURI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036120688	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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