DR. EHSAN HAZRAT (NPI# 1043564586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043564586 |
| Entity Type | Individual |
| Full Name | DR. EHSAN HAZRAT |
| Credential | MD |
| Practice Address |
1515 Village Dr Cottage Grove OR 97424-9700 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-9324 |
| Practice Telephone | 5417675200 |
| Practice Fax Number | 5417675353 |
| Mailing Telephone | 5417675200 |
| Mailing Fax Number | 5417675353 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 125062419 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1515 VILLAGE DR |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507952 | Paul J Steier | Family Medicine | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2005-06-08 |
| 1942781489 | Kimberly Rae Stober | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2018-08-23 |
| 1760961288 | Mckinley Marie Hutchison | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2018-08-07 |
| 1083064737 | Maria Jane Holder | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2016-06-14 |
| 1538538327 | Brandy Bump Zerby | Physician Assistant | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2015-09-22 |
| 1487044376 | Rebecca Mcbride | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2015-01-29 |
| 1023450715 | Peace Health | Non-Pharmacy Dispensing Site | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2013-07-23 |
| 1104266956 | Jonathan Rafael Javier Lazaro | Family Medicine | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2013-06-26 |
| 1477816908 | Julie Ann Alcantara Galinato | Family Medicine | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-06-19 |
| 1609142595 | Peacehealth | Medicare Defined Swing Bed Unit | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1821363227 | James Michael Tandrow | Family Medicine | 205 Buttercup Loop, Cottage Grove, OR 97424-2069 | 2012-03-19 |
| 1922322619 | Sheryl Spitzer -resnick Md, LLC | Family Medicine | 251 East Cottage Grove Road, Cottage Grove, WI 53527 | 2010-03-24 |
| 1821277716 | Shaswita Chintalpuri | Family Medicine | 7500 80th Street South, Suite 100 - Mail Stop 34624a, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | 2007-10-29 |
| 1912120114 | Mary E Gabriele | Family Medicine | 502 E Whiteaker Ave, Cottage Grove, OR 97424-1648 | 2007-04-10 |
| 1386769735 | Joseph R.f. Kalugdan | Family Medicine | 7500 80th St S Ste 100, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | 2007-03-21 |
| 1275663247 | Paul A Bilder | Family Medicine | 1445 Gateway Blvd., Cottage Grove, OR 97424 | 2007-03-07 |
| 1225115124 | Wildwood Family Clinic, Sc | Family Medicine | 535 Southing Grange, Cottage Grove, WI 53527-9338 | 2006-11-01 |
| 1487748943 | Katrina Carol Groves-rehwaldt | Family Medicine | 1515 Village Dr Ste 200, Cottage Grove, OR 97424 | 2006-10-02 |
| 1215980792 | Martha J Masciopinto | Family Medicine | 10010 Kimbro Ave S, Cottage Grove, MN 55016-4151 | 2006-05-18 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.