MUHAMMAD OMER
Complete NPI Record 1730875683
Student in an Organized Health Care Education/Training Program in Newport News, VA
Active since April 13, 2023PECOS Enrolled
Complete NPI Dataset
This page contains the complete raw NPPES record for Muhammad Omer (NPI 1730875683), an individual student in an organized health care education/training program provider in Newport News, VA. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1730875683 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: OMER Field 3/29
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: MUHAMMAD Field 4/29
- The first name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 1515 SAVANNAH RD FL 2 Field 5/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: LEWES Field 6/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: DE Field 7/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 199581675 Field 8/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 3026453499 Field 10/29
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 3026444830 Field 11/29
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 10510 JEFFERSON AVE STE A Field 12/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: NEWPORT NEWS Field 13/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: VA Field 14/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 236013102 Field 15/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7575943800 Field 17/29
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7575919021 Field 18/29
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: M Field 21/29
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 207Q00000X Field 22/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: C2-0024988 Field 23/29
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: DE Field 24/29
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 25/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 390200000X Field 26/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 27/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: Y Field 28/29
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 14
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
17388 N Village Main Blvd Unit 21
Location 1/14Lewes, DE 19958-7240 · Phone (302) 291-6050 · Fax (833) 450-5311
28538 DuPont Blvd Unit 1
Location 2/14Millsboro, DE 19966-4791 · Phone (302) 829-3294 · Fax (833) 314-0538
100 Silicato Pkwy Ste 200
Location 3/14Milford, DE 19963-1271 · Phone (302) 393-2056 · Fax (844) 560-2228
12100 Black Swan Dr Ste 104
Location 4/14Lewes, DE 19958-4991 · Phone (302) 645-1315 · Fax (833) 437-1399
34445 King Street Row
Location 5/14Lewes, DE 19958-4787 · Phone (302) 645-2833 · Fax (844) 640-3955
21635 Biden Ave Unit 101
Location 6/14Georgetown, DE 19947-4575 · Phone (302) 856-9596 · Fax (888) 987-4164
36450 Tidal Rd Unit 2
Location 7/14Selbyville, DE 19975-4596 · Phone (302) 291-6045 · Fax (833) 449-3867
36223 Farm Ln Ste 140
Location 8/14Rehoboth Beach, DE 19971-1329 · Phone (302) 227-1268 · Fax (844) 242-4410
1008 Kings Hwy
Location 9/14Lewes, DE 19958-1932 · Phone (302) 291-6031 · Fax (833) 954-4028
232 Mitchell St Unit 301
Location 10/14Millsboro, DE 19966-9412 · Phone (302) 316-4190 · Fax (844) 560-1009
32550 Docs Pl Unit 2
Location 11/14Millville, DE 19967-6975 · Phone (302) 539-4302 · Fax (888) 987-4513
18947 John J Williams Hwy Unit 303
Location 12/14Rehoboth Beach, DE 19971-4477 · Phone (302) 644-0690 · Fax (844) 242-4410
23900 Milton Ellendale Hwy Ste 101
Location 13/14Milton, DE 19968-2714 · Phone (302) 684-2033 · Fax (866) 989-3129
32050 Long Neck Rd
Location 14/14Millsboro, DE 19966-6228 · Phone (302) 645-3150 · Fax (833) 908-2232
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